Healthcare Provider Details

I. General information

NPI: 1326301177
Provider Name (Legal Business Name): HEATHER BLYTHE DELAGI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 HIGH ST
SANTA CRUZ CA
95064-1099
US

IV. Provider business mailing address

1156 HIGH ST
SANTA CRUZ CA
95064-1099
US

V. Phone/Fax

Practice location:
  • Phone: 831-459-2211
  • Fax: 831-459-3546
Mailing address:
  • Phone: 831-459-2211
  • Fax: 831-459-3546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20613
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: