Provider Demographics
NPI:1770087751
Name:KILYOFAS, DELVENIA TWON (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DELVENIA
Middle Name:TWON
Last Name:KILYOFAS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6310
Mailing Address - Country:US
Mailing Address - Phone:757-685-8585
Mailing Address - Fax:757-432-3205
Practice Address - Street 1:1545 CROSSWAYS BLVD STE 250
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0218
Practice Address - Country:US
Practice Address - Phone:757-749-1875
Practice Address - Fax:757-432-3205
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001218499163WC0400X
VA0024176031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management