Provider Demographics
NPI:1679008973
Name:ACUNA, DELIA E
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:E
Last Name:ACUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71122
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28272-1122
Mailing Address - Country:US
Mailing Address - Phone:804-559-6980
Mailing Address - Fax:804-559-6982
Practice Address - Street 1:4313 OLD HUNDRED RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-4232
Practice Address - Country:US
Practice Address - Phone:757-340-3489
Practice Address - Fax:757-340-4278
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174726363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778Medicare PIN