Individual
TINA VARUGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 S BRADFORD ST, DOVER, DE 19904-4137
(302) 674-7155
Mailing address
807 S BRADFORD ST, DOVER, DE 19904-4137
(302) 674-7155
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
906963
TX
363LF0000X
Family Nurse Practitioner
Primary
LG-0011649
DE
Other
Enumeration date
07/29/2020
Last updated
01/20/2023
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