Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Physician Network, Inc

Organization Nurse Practitioner · NPI 1114712692

Tidalhealth Physician Network, Inc is a Nurse Practitioner in Seaford, Delaware. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8472 Herring Run Rd Unit A
Seaford, DE 19973-5763
Phone: (302) 297-2511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1114712692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrator Officer · (410) 543-7497
Other names Tidalhealth Immediate Care
NPI enumeratedApril 14, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 824327, Philadelphia, PA 19182-4327

Other providers in Seaford