Provider Demographics
NPI:1790035459
Name:MUTHUKUMAR, ARUNA (ANP)
Entity type:Individual
Prefix:MRS
First Name:ARUNA
Middle Name:
Last Name:MUTHUKUMAR
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 559
Mailing Address - Street 2:
Mailing Address - City:DELAWARE CITY
Mailing Address - State:DE
Mailing Address - Zip Code:19706-0559
Mailing Address - Country:US
Mailing Address - Phone:302-595-4647
Mailing Address - Fax:
Practice Address - Street 1:501 W 14TH ST BLDG 4TH
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:302-661-3070
Practice Address - Fax:302-661-3080
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELB0000271363LA2200X
DELB-0000271363LA2200X
DEL1-0033254163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse