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NPI Code Detail

MEDICARE: YANET PEREZ DELGADO FNP-C

MEDICARE: YANET PEREZ DELGADO FNP-C
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
1363LF0000XFamily Nurse Practitioner1111193TX
2163W00000XRegistered Nurse980499TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11111193OTHERTXPRIVATE INSURANCE

General Provider Information

NPI Number : 1265070163
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANET PEREZ DELGADO FNP-C
Provider Business Mailing Address
First Line : 4518 RUSSELL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77026-3439
Country : US
Telephone Number : 832-397-0944
Fax Number :
Provider Business Practice Location Address
First Line : 4518 RUSSELL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77026
Country : US
Telephone Number : 832-397-0944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 03/23/2023

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