Provider Demographics
NPI:1932410305
Name:DELGADO, TANIA Y (CNA)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:Y
Last Name:DELGADO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 KENWICK CIR APT 103
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-4260
Mailing Address - Country:US
Mailing Address - Phone:407-259-8629
Mailing Address - Fax:321-250-7425
Practice Address - Street 1:642 KENWICK CIR APT 103
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-4260
Practice Address - Country:US
Practice Address - Phone:407-259-8629
Practice Address - Fax:321-250-7425
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant