Provider Demographics
NPI:1275074767
Name:CATHEY, DELIA RACHELLE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:RACHELLE
Last Name:CATHEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W. CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220
Mailing Address - Country:US
Mailing Address - Phone:575-628-1081
Mailing Address - Fax:575-628-1083
Practice Address - Street 1:202 W. CHURCH STREET
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-3537
Practice Address - Country:US
Practice Address - Phone:575-628-1081
Practice Address - Fax:575-628-1083
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily