Provider Demographics
NPI:1518760461
Name:DELUCA, DALACIE (RN)
Entity type:Individual
Prefix:
First Name:DALACIE
Middle Name:
Last Name:DELUCA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 IDA DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-2150
Mailing Address - Country:US
Mailing Address - Phone:419-250-7931
Mailing Address - Fax:
Practice Address - Street 1:2424 IDA DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2150
Practice Address - Country:US
Practice Address - Phone:419-250-7931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH542764163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse