Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN001546 | NV |
NPI | 1003257775 |
---|---|
Provider Name | Melissa Lynn Delamora |
First Address | Reno, NV 89521-4814 |
Second Address | Reno, NV 89511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2013 |
Last Update Date | 01/06/2018 |