Provider Demographics
NPI:1013495100
Name:DELONEY, CHYNA LANA (LVN)
Entity type:Individual
Prefix:
First Name:CHYNA
Middle Name:LANA
Last Name:DELONEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 CAROLINE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-2822
Mailing Address - Country:US
Mailing Address - Phone:972-876-6313
Mailing Address - Fax:
Practice Address - Street 1:1319 CAROLINE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-2822
Practice Address - Country:US
Practice Address - Phone:972-876-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX336556164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse