Healthcare Provider Details

I. General information

NPI: 1922997550
Provider Name (Legal Business Name): SELENA MENJIVAR-DELGADO DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL PLZ
STAMFORD CT
06902-3602
US

IV. Provider business mailing address

1 HOSPITAL PLZ
STAMFORD CT
06902-3602
US

V. Phone/Fax

Practice location:
  • Phone: 203-348-7410
  • Fax: 203-961-8488
Mailing address:
  • Phone: 203-348-7410
  • Fax: 203-961-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number15068
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: