Provider Demographics
NPI:1801161229
Name:BYRNE, REBECCA (APN)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:BYRNE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 WESTOVER RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2981
Mailing Address - Country:US
Mailing Address - Phone:302-482-2035
Mailing Address - Fax:302-482-2587
Practice Address - Street 1:3521 SILVERSIDE RD
Practice Address - Street 2:CONCORD PLAZA, QUILLEN SUITE #2D1
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4900
Practice Address - Country:US
Practice Address - Phone:302-482-2035
Practice Address - Fax:302-482-2587
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000593363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner