Provider Demographics
NPI:1023473931
Name:DELGADO, ROBYN L (LPN)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:L
Last Name:DELGADO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 N 790 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2841
Mailing Address - Country:US
Mailing Address - Phone:801-310-4123
Mailing Address - Fax:
Practice Address - Street 1:2319 N 790 W
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2841
Practice Address - Country:US
Practice Address - Phone:801-310-4123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5648116-3101164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse