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NPI Code Detail

MEDICARE: DELAYNA A NITZ N.P.

MEDICARE: DELAYNA A NITZ N.P.
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
1363L00000XNurse PractitionerR-170159-9MN

Other Identifiers

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

General Provider Information

NPI Number : 1780662544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELAYNA A NITZ N.P.
Provider Business Mailing Address
First Line : 425 7TH ST NW
Second Line :
City : CASS LAKE
State : MN
Zip : 56633-3360
Country : US
Telephone Number : 218-335-3200
Fax Number :
Provider Business Practice Location Address
First Line : 425 7TH ST NW
Second Line :
City : CASS LAKE
State : MN
Zip : 56633-3360
Country : US
Telephone Number : 218-335-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 12/04/2023

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Directions to “ DELAYNA A NITZ N.P.” Practice Location

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