Provider Demographics
NPI:1043465966
Name:DELGADO, KARSEN (APRN)
Entity Type:Individual
Prefix:
First Name:KARSEN
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 W MAYFLOWER WAY STE 4
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2927
Mailing Address - Country:US
Mailing Address - Phone:801-224-3031
Mailing Address - Fax:801-890-3924
Practice Address - Street 1:3315 W MAYFLOWER WAY STE 4
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2927
Practice Address - Country:US
Practice Address - Phone:801-224-3031
Practice Address - Fax:801-890-3924
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3085392-4405163WC1500X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health