Provider Demographics
NPI:1013671403
Name:DELGADILLO, BROOKE (RCSN)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:DELGADILLO
Suffix:
Gender:F
Credentials:RCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8324 WESTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-3314
Mailing Address - Country:US
Mailing Address - Phone:562-692-0271
Mailing Address - Fax:
Practice Address - Street 1:8324 WESTMAN AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-3314
Practice Address - Country:US
Practice Address - Phone:562-692-0271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95061799163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool