Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1-056587 | AL |
NPI | 1003472978 |
---|---|
Provider Name | Mrs. Gina Marie Delgado |
First Address | Huntsville, AL 35801 |
Second Address | Huntsville, AL 35801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2019 |
Last Update Date | 15/05/2019 |