MEDICARE: WILNITE DANIEL DELINCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9187343	FL

General Provider Information

NPI Number	:	1053045880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILNITE DANIEL DELINCE

Provider Business Mailing Address
First Line	:	6730 NW PINSON CT
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34983-5332
Country	:	US
Telephone Number	:	305-725-7664
Fax Number	:

Provider Business Practice Location Address
First Line	:	6730 NW PINSON CT
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34983-5332
Country	:	US
Telephone Number	:	305-725-7664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2022
Last Update Date	:	07/16/2022

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Directions to “ WILNITE DANIEL DELINCE ” Practice Location

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