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
1	363LF0000X	Family Nurse Practitioner	1111193	TX
2	163W00000X	Registered Nurse	980499	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1111193	OTHER	TX	PRIVATE 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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