Provider Demographics
NPI:1861509341
Name:DELGADO, SHARON LEE (MFC RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEE
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MFC RN
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:LEE
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:26501 CORTINA DR
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:949-830-4574
Mailing Address - Fax:
Practice Address - Street 1:30131 TOWN CENTER DRIVE
Practice Address - Street 2:STE 280
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677
Practice Address - Country:US
Practice Address - Phone:949-495-8853
Practice Address - Fax:949-495-7686
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23895101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist