Provider Demographics
NPI:1053045880
Name:DELINCE, WILNITE DANIEL
Entity Type:Individual
Prefix:
First Name:WILNITE
Middle Name:DANIEL
Last Name:DELINCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6730 NW PINSON CT
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-5332
Mailing Address - Country:US
Mailing Address - Phone:305-725-7664
Mailing Address - Fax:
Practice Address - Street 1:6730 NW PINSON CT
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-5332
Practice Address - Country:US
Practice Address - Phone:305-725-7664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9187343163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse