Provider Demographics
NPI:1407946494
Name:DELACOURT, PATRICIA W (RN, APN-C)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:W
Last Name:DELACOURT
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Gender:F
Credentials:RN, APN-C
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Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:KELEMAN 404
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-3090
Mailing Address - Fax:856-968-8431
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:THE HEART STATION
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-3090
Practice Address - Fax:856-968-8431
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2016-04-22
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Provider Licenses
StateLicense IDTaxonomies
NJNR057029363L00000X
NJNJ000649363L00000X
PAVP006250P363L00000X
PARN226094L363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner