Provider Demographics
NPI:1235568965
Name:DELSIGNORE, AMY (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:DELSIGNORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 HALDE ST
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-3006
Mailing Address - Country:US
Mailing Address - Phone:304-289-3073
Mailing Address - Fax:304-289-5116
Practice Address - Street 1:299 HALDE ST
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-3006
Practice Address - Country:US
Practice Address - Phone:304-289-3073
Practice Address - Fax:304-289-5116
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV54412163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool