MEDICARE: ALEJANDRA DELAO

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	176B00000X	Midwife	30207	SC
2	363LW0102X	Women's Health Nurse Practitioner	30207	SC

General Provider Information

NPI Number	:	1649152299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRA DELAO

Provider Business Mailing Address
First Line	:	721 OKATIE HWY
Second Line	:
City	:	OKATIE
State	:	SC
Zip	:	29909-3963
Country	:	US
Telephone Number	:	843-987-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1264 RIBAUT RD STE 200
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29902-6127
Country	:	US
Telephone Number	:	843-524-2466
Fax Number	:

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

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	06/12/2026

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Directions to “ ALEJANDRA DELAO ” Practice Location

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