Provider Demographics
NPI:1689286270
Name:DELGADO LEE, MEYLIEN (MSN FNP-C)
Entity Type:Individual
Prefix:
First Name:MEYLIEN
Middle Name:
Last Name:DELGADO LEE
Suffix:
Gender:F
Credentials:MSN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 STETSON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-3326
Mailing Address - Country:US
Mailing Address - Phone:704-596-5606
Mailing Address - Fax:
Practice Address - Street 1:133 STETSON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3326
Practice Address - Country:US
Practice Address - Phone:704-596-5606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013885363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care