MEDICARE: DEBORAH WAURISHUK ARNP

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
1	363L00000X	Nurse Practitioner	ARNP1442012	FL
2	363LF0000X	Family Nurse Practitioner	LG-0001194	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LG-0001194	OTHER	DE	MEDICAL LICENSE
2	ARNP1442012	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1821097791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH WAURISHUK ARNP

Provider Business Mailing Address
First Line	:	1515 SAVANNAH RD
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-1675
Country	:	US
Telephone Number	:	302-313-2298
Fax Number	:	302-645-3691

Provider Business Practice Location Address
First Line	:	232 MITCHELL ST
Second Line	:
City	:	MILLSBORO
State	:	DE
Zip	:	19966-9412
Country	:	US
Telephone Number	:	302-316-4190
Fax Number	:	302-366-1093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/09/2023

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