Delia Gonzalez
Individual provider Active NPI Registered Nurse · Henryville, PA
NPI 1184968331 · NPPES record last updated Nov 11, 2012
Key facts
- NPI
- 1184968331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 489628 (NY)
- Practice address
- 3079 Route 715
Henryville, PA 18332-7778 - Phone
- (570) 699-9399
- NPI assigned
- Nov 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 489628 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 489628 | NY | Yes |
Addresses
Primary practice location
3079 Route 715
Henryville, PA 18332-7778
Mailing address
3079 Route 715
Henryville, PA 18332-7778
Phone (570) 699-9399
Other providers in Henryville, PA
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- Clear Mind Therapy Solutions LLC
- Susan Regina Dogan
- Benjamin Cleveland Driggers V
- Regina Gaffney
- Michelle Gonzalez
- Barbara Ann Hoffman
- Dorothea Josephs-Spaulding
- Pocono Mountain Recovery Center, LLC
- Monica Rolon
All providers in Henryville, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.