Healthcare Provider Details

I. General information

NPI: 1568905669
Provider Name (Legal Business Name): YANEISY DELGADO KINDELAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13031 CENTRAL AVE NE
ALBUQUERQUE NM
87123-3029
US

IV. Provider business mailing address

13031 CENTRAL AVE NE
ALBUQUERQUE NM
87123-3029
US

V. Phone/Fax

Practice location:
  • Phone: 505-974-9592
  • Fax:
Mailing address:
  • Phone: 505-977-1127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number66594
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: