Provider Demographics
NPI:1770968018
Name:DELGADO, KAREEN MARCIA (APNC)
Entity type:Individual
Prefix:
First Name:KAREEN
Middle Name:MARCIA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:APNC
Other - Prefix:MISS
Other - First Name:KAREEN
Other - Middle Name:MARCIA
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NPC
Mailing Address - Street 1:312 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2502
Mailing Address - Country:US
Mailing Address - Phone:973-532-7898
Mailing Address - Fax:973-821-5999
Practice Address - Street 1:312 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2502
Practice Address - Country:US
Practice Address - Phone:973-532-7898
Practice Address - Fax:973-821-5999
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00470800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health