OrganizationActive
Wilmington Health Access for Teens, Inc
NPI 1902905649 · Adolescent Medicine (Family Medicine) Physician · Wilmington, NC
Provider details
- NPI number
- 1902905649
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wilmington Health Access for Teens, Inc
- Organization subpart
- Yes
- Authorized official
- Maria Van De Bovenkamp, Director of Administration(910) 790-9949
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4005 Oleander Dr
Wilmington, NC 28403-6816
Phone: (910) 790-9949
Fax: (910) 790-9455
Approximate (ZIP-level) locationGet directions
Mailing address
1307 Market St
Wilmington, NC 28401-4331
Other names (DBA / former)
- Doing business as
- New Hanover High School Wellness Center
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2010-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.