Healthcare Provider Details

I. General information

NPI: 1003710716
Provider Name (Legal Business Name): TARRAYE K. STURGIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S DUPONT BLVD STE F
MILFORD DE
19963-1704
US

IV. Provider business mailing address

550 S DUPONT BLVD STE F
MILFORD DE
19963-1704
US

V. Phone/Fax

Practice location:
  • Phone: 302-422-2888
  • Fax: 302-422-3888
Mailing address:
  • Phone: 302-422-2888
  • Fax: 302-422-3888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberQ3-0011664
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: