Provider Demographics
NPI:1477829976
Name:MCGREGOR, DELSIE LORRAINE (RN)
Entity Type:Individual
Prefix:MS
First Name:DELSIE
Middle Name:LORRAINE
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DELSIE
Other - Middle Name:LORRAINE
Other - Last Name:MCCADNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:7502 162ND ST
Mailing Address - Street 2:ROOM # 351
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1135
Mailing Address - Country:US
Mailing Address - Phone:718-591-5168
Mailing Address - Fax:718-591-0508
Practice Address - Street 1:7502 162ND ST
Practice Address - Street 2:ROOM # 351
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1135
Practice Address - Country:US
Practice Address - Phone:718-591-5168
Practice Address - Fax:718-591-0508
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340721-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool