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NPI Code Detail

MEDICARE: THOMAS J. BYRNES IV FNP

MEDICARE: THOMAS J. BYRNES IV FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseL1-0036577DE
2363LF0000XFamily Nurse PractitionerLG-0012102DE

General Provider Information

NPI Number : 1700509296
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS J. BYRNES IV FNP
Provider Business Mailing Address
First Line : 291 CARTER DR STE A
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-5845
Country : US
Telephone Number : 844-365-7246
Fax Number : 844-516-0080
Provider Business Practice Location Address
First Line : 405 SILVERSIDE RD STE 104
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1768
Country : US
Telephone Number : 844-365-7246
Fax Number : 844-516-0080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2022
Last Update Date : 06/02/2026

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