Provider Demographics
NPI:1831927201
Name:SHORT, MEGAN DELGADO (BA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:DELGADO
Last Name:SHORT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 IRON WHEEL DR UNIT 4
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3903
Mailing Address - Country:US
Mailing Address - Phone:909-260-3765
Mailing Address - Fax:
Practice Address - Street 1:6979 S HOLLY CIR STE 230
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6253
Practice Address - Country:US
Practice Address - Phone:720-724-4548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program