Rachel Ann Wildman Dellos
Nurse Practitioner - Neonatal (Critical Care)
10 Mcclennan Banks Dr
Charleston
, South Carolina 29401-1164
Rachel Ann Wildman Dellos
Nurse Practitioner - Neonatal (Critical Care)
10 Mcclennan Banks Dr
Charleston
, South Carolina 29401-1164
(843) 792-6200
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Rachel Ann Wildman Dellos
- Po Box 751461
- Charlotte, NC
- Zip : 28275-1461
- Phone : (843) 792-6200
Second Address
- Rachel Ann Wildman Dellos
- 10 Mcclennan Banks Dr
- Charleston, SC
- Zip : 29401-1164
- Phone : (843) 985-1569
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 24385 | SC |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APRN.CNP.13049 | OH |
National Provider Identifier
| NPI | 1215208111 |
|---|---|
| Provider Name | Rachel Ann Wildman Dellos |
| First Address | Charlotte, NC 28275-1461 |
| Second Address | Charleston, SC 29401-1164 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2012 |
| Last Update Date | 30/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104367549 | NATIONAL CERTIFYING CORPORATION (01) | |
| 24385 | SC APRN LICENSE (01) | SC |
| APRN.CNP.13049 | OHIO APRN LICENSE (01) | OH |
| RN.339992 | OHIO RN LICENSE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.