Provider Demographics
NPI:1760182414
Name:DELGADO, ABRIL RENEE
Entity Type:Individual
Prefix:
First Name:ABRIL
Middle Name:RENEE
Last Name:DELGADO
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 1:1350 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-2422
Mailing Address - Country:US
Mailing Address - Phone:805-474-2154
Mailing Address - Fax:805-474-2160
Practice Address - Street 1:1350 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-2422
Practice Address - Country:US
Practice Address - Phone:805-474-2154
Practice Address - Fax:805-474-2160
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator