Healthcare Provider Details

I. General information

NPI: 1265212682
Provider Name (Legal Business Name): NOAH MICHAEL DELP PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 06/25/2025
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 HOWARD AVE
ALTOONA PA
16601-4804
US

IV. Provider business mailing address

113 MOCKINGBIRD LN
CRESSON PA
16630-1889
US

V. Phone/Fax

Practice location:
  • Phone: 814-889-6177
  • Fax:
Mailing address:
  • Phone: 814-591-1347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA006642
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA064963
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: