Provider Demographics
NPI:1487088605
Name:LUNA, CAROLINNE (CRNP)
Entity type:Individual
Prefix:
First Name:CAROLINNE
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CAROLINNE
Other - Middle Name:L
Other - Last Name:MROZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-0444
Mailing Address - Fax:302-623-0440
Practice Address - Street 1:200 HYGEIA DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2049
Practice Address - Country:US
Practice Address - Phone:302-623-0444
Practice Address - Fax:302-623-0440
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185689163W00000X, 363LF0000X
DELG-0001343363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD623203500Medicaid