Nurse Practitioner, Family
ATLANTIC GENERAL HOSPITAL CORPORATION
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790503464 · enumerated 2024-10-01 · record updated 2024-10-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JAMES KANUCH, Chief Financial Officer · (410) 641-9602
Other names: ATLANTIC GENERAL HEALTH SYSTEM
Addresses and phones
- Mailing address 9733 HEALTHWAY DR, BERLIN, MD, 21811-1156 (410) 629-6037 Google Maps Apple Maps OpenStreetMap
- Practice location 38394 DUPONT BLVD STE H, SELBYVILLE, DE, 19975-3049 (302) 524-5007 Fax (302) 524-5011 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X
- Nurse Practitioner, Family 363LF0000X · Primary
- Nurse Practitioner, Obstetrics & Gynecology 363LX0001X
In this directory
Locations and evidence
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Practice location
SELBYVILLE, DE, 199753049
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.