Provider Demographics
NPI:1609350537
Name:DELGADO, LAUREN (ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, CNM
Mailing Address - Street 1:5922 S WINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1648
Mailing Address - Country:US
Mailing Address - Phone:515-971-6554
Mailing Address - Fax:
Practice Address - Street 1:5922 S WINWOOD DR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1648
Practice Address - Country:US
Practice Address - Phone:515-971-6554
Practice Address - Fax:515-605-7515
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB140213367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife