Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | LB-0000281 | DE |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | LB-0000281 | DE |
NPI | 1043648223 |
---|---|
Provider Name | Matthew S Fuchs |
First Address | Wilmington, DE 19805-7170 |
Second Address | Newark, DE 19718-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2013 |
Last Update Date | 31/05/2017 |