Healthcare Provider Details

I. General information

NPI: 1689056343
Provider Name (Legal Business Name): TANYA TREWICK - RYANS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CONTINENTAL DR STE 401
NEWARK DE
19713-4337
US

IV. Provider business mailing address

935 E LANCASTER AVE # 1102
DOWNINGTOWN PA
19335-3328
US

V. Phone/Fax

Practice location:
  • Phone: 302-223-2027
  • Fax: 302-337-5945
Mailing address:
  • Phone: 302-223-2027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0013349
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9462039
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010980
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016236
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: