Provider Demographics
NPI:1740802776
Name:DELGADO, ERIN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2399 N UNION STREET EXT
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1574
Mailing Address - Country:US
Mailing Address - Phone:716-375-4601
Mailing Address - Fax:716-375-5190
Practice Address - Street 1:2399 N UNION STREET EXT
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1574
Practice Address - Country:US
Practice Address - Phone:716-375-4601
Practice Address - Fax:716-375-5190
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY632569163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent