Healthcare Provider Details

I. General information

NPI: 1932134111
Provider Name (Legal Business Name): CHRISTI DIANE DELEMOS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 EXP PARKWAY
SACRAMENTO CA
95815
US

IV. Provider business mailing address

1500 EXP PARKWAY
SACRAMENTO CA
95815
US

V. Phone/Fax

Practice location:
  • Phone: 916-646-8300
  • Fax: 916-920-4434
Mailing address:
  • Phone: 916-646-8300
  • Fax: 916-920-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberKN498691
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: