Provider Demographics
NPI:1023655842
Name:VARGHESE, RENY (FNP)
Entity type:Individual
Prefix:
First Name:RENY
Middle Name:
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RENY
Other - Middle Name:SUSAN
Other - Last Name:KURIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 DUNLEARY DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6355
Mailing Address - Country:US
Mailing Address - Phone:302-339-3283
Mailing Address - Fax:
Practice Address - Street 1:501 W 14TH ST FL 6
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-320-1300
Practice Address - Fax:302-320-1373
Is Sole Proprietor?:No
Enumeration Date:2019-12-01
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001320363L00000X, 363LF0000X
DEL1-0033295163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse