Provider Demographics
NPI:1477229045
Name:CATLETT, DELPHIA
Entity Type:Individual
Prefix:
First Name:DELPHIA
Middle Name:
Last Name:CATLETT
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:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:WV
Mailing Address - Zip Code:26704-0065
Mailing Address - Country:US
Mailing Address - Phone:304-496-7003
Mailing Address - Fax:
Practice Address - Street 1:68 CENTRAL PARK LANE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:WV
Practice Address - Zip Code:26704
Practice Address - Country:US
Practice Address - Phone:304-496-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant