Provider Demographics
NPI:1104433747
Name:DURLING-GROVER, RENAY (DNP, APN-C)
Entity type:Individual
Prefix:
First Name:RENAY
Middle Name:
Last Name:DURLING-GROVER
Suffix:
Gender:F
Credentials:DNP, APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FAR VIEW RD
Mailing Address - Street 2:
Mailing Address - City:GREAT MEADOWS
Mailing Address - State:NJ
Mailing Address - Zip Code:07838-2700
Mailing Address - Country:US
Mailing Address - Phone:201-321-6240
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE # 88
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01056900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner