Healthcare Provider Details

I. General information

NPI: 1871875351
Provider Name (Legal Business Name): YARIMINETTE DELGADO OLIVO APRN, LND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 SE 17TH ST STE 100
OCALA FL
34471-5588
US

IV. Provider business mailing address

3515 SE 17TH ST STE 100
OCALA FL
34471-5588
US

V. Phone/Fax

Practice location:
  • Phone: 352-509-9165
  • Fax: 352-861-7725
Mailing address:
  • Phone: 352-509-9165
  • Fax: 352-861-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number1635
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11024774
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11024774
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: