Provider Demographics
NPI:1598949414
Name:DELCIAPPO, LINDA L (CNM)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:DELCIAPPO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 E TURKEYFOOT LAKE RD
Mailing Address - Street 2:#301
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5277
Mailing Address - Country:US
Mailing Address - Phone:330-344-8565
Mailing Address - Fax:330-896-7085
Practice Address - Street 1:1622 E TURKEYFOOT LAKE RD
Practice Address - Street 2:#301
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5277
Practice Address - Country:US
Practice Address - Phone:330-344-8565
Practice Address - Fax:330-896-7085
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.00568176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH0932227Medicaid
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OHH167311Medicare PIN
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #