Provider Demographics
NPI:1326348640
Name:DELGARDO, DANA C (APN)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:C
Last Name:DELGARDO
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:C
Other - Last Name:DELGARDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APNC
Mailing Address - Street 1:4440 FRUITVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-1926
Mailing Address - Country:US
Mailing Address - Phone:941-366-0134
Mailing Address - Fax:941-404-1760
Practice Address - Street 1:3155 STATE ROUTE 10 STE 204
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-3430
Practice Address - Country:US
Practice Address - Phone:733-703-1309
Practice Address - Fax:888-210-5318
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337845363LF0000X
NJ26NJ00312700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily