Healthcare Provider Details

I. General information

NPI: 1124325634
Provider Name (Legal Business Name): NATHALIE DELIA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 US HIGHWAY 202 N STE N
BRANCHBURG NJ
08876-3757
US

IV. Provider business mailing address

6 PARAGON WAY STE 104
FREEHOLD NJ
07728-5925
US

V. Phone/Fax

Practice location:
  • Phone: 732-498-0824
  • Fax: 732-658-4852
Mailing address:
  • Phone: 732-303-9900
  • Fax: 732-303-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00321200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00321200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: