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1023655842 NPI number — RENY VARGHESE FNP

NPI Number: 1023655842
Health Care Provider/Practitioner: RENY VARGHESE FNP

Information about “1023655842” NPI (RENY VARGHESE FNP) exists in 1023655842 in HTML format HTML  |  1023655842 in plain Text format TXT  |  1023655842 in PDF (Portable Document Format) PDF  |  1023655842 in an XML format XML  formats.

NPI Number : 1023655842 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023655842",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VARGHESE",
    "FirstName": "RENY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KURIAN",
    "OtherFirstName": "RENY",
    "OtherMiddleName": "SUSAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "28 DUNLEARY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEAR",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19701-6355",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-339-3283",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "501 W 14TH ST FL 6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19801-1013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-320-1300",
    "PracticeLocationAddressFaxNumber": "302-320-1373",
    "EnumerationDate": "12/01/2019",
    "LastUpdateDate": "11/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "LG-0001320",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "L1-0033295",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "LG-0001320",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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