Provider Demographics
NPI:1578692141
Name:DELGADO, JANET MARIA (ACNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARIA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 W LA VIDA AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-7115
Mailing Address - Country:US
Mailing Address - Phone:559-967-5940
Mailing Address - Fax:559-735-3033
Practice Address - Street 1:3636 W LA VIDA AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-7115
Practice Address - Country:US
Practice Address - Phone:559-967-5940
Practice Address - Fax:559-735-3033
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15462363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
632836OtherRN
632836OtherRN
PAP93022Medicare UPIN