Individual
MRS. TANYA VANESSA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 RAWLINS DR, SEAFORD, DE 19973-5881
(302) 536-5415
Mailing address
801 MIDDLEFORD RD, SEAFORD, DE 19973-3636
(302) 629-6611
(302) 629-9837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0000808
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255720413
—
DE
Enumeration date
01/12/2015
Last updated
12/11/2023
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