Healthcare Provider Details

I. General information

NPI: 1326717711
Provider Name (Legal Business Name): VIRGINIA K. DENNIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 GORDON HOUSE WAY
MIDDLETOWN DE
19709-9975
US

IV. Provider business mailing address

241 BERKLEY AVE
LANSDOWNE PA
19050-1354
US

V. Phone/Fax

Practice location:
  • Phone: 215-910-9003
  • Fax:
Mailing address:
  • Phone: 215-910-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAN-0026068
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF08210019
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: