Provider Demographics
NPI:1780449918
Name:D'ELIA, SIOBHAN MUNROE (FNP-C)
Entity type:Individual
Prefix:
First Name:SIOBHAN
Middle Name:MUNROE
Last Name:D'ELIA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 YORKSWELL LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-4964
Mailing Address - Country:US
Mailing Address - Phone:910-616-0209
Mailing Address - Fax:
Practice Address - Street 1:236 YORKSWELL LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-4964
Practice Address - Country:US
Practice Address - Phone:910-616-0209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27294363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner