Provider Demographics
NPI:1982731154
Name:DALGADO, NYMPHA (PMHNP)
Entity Type:Individual
Prefix:
First Name:NYMPHA
Middle Name:
Last Name:DALGADO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 E PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2368
Mailing Address - Country:US
Mailing Address - Phone:804-272-2000
Mailing Address - Fax:804-277-2030
Practice Address - Street 1:1640 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2368
Practice Address - Country:US
Practice Address - Phone:804-272-2000
Practice Address - Fax:804-272-2030
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024122345163WP0200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics