Provider Demographics
NPI:1609037894
Name:KAY - DELAROSA, NELLIE RUTH (RN)
Entity Type:Individual
Prefix:MISS
First Name:NELLIE
Middle Name:RUTH
Last Name:KAY - DELAROSA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:NELLIE
Other - Middle Name:RUTH
Other - Last Name:KAY - DELAROSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:18955 N MEMORIAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4271
Mailing Address - Country:US
Mailing Address - Phone:281-540-8779
Mailing Address - Fax:281-540-8798
Practice Address - Street 1:18955 N MEMORIAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4271
Practice Address - Country:US
Practice Address - Phone:281-540-8779
Practice Address - Fax:281-540-8798
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666916163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty