MEDICARE: DR. CHERYL LYNN DELGADO PHD RN C ANP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	RN115130NP03307	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497884142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL LYNN DELGADO PHD RN C ANP

Provider Business Mailing Address
First Line	:	6802 CHAFFEE CT
Second Line	:
City	:	BRECKSVILLE
State	:	OH
Zip	:	44141-2417
Country	:	US
Telephone Number	:	440-546-0880
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 SAINT CLAIR AVE NE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2004
Country	:	US
Telephone Number	:	216-781-6724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/08/2007

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