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NPI Code Detail

MEDICARE: DELANEY NICOLE DEHERTOGH APRN

MEDICARE: DELANEY NICOLE DEHERTOGH APRN
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
1367A00000XAdvanced Practice Midwife29371SC
2363LF0000XFamily Nurse Practitioner29371SC

General Provider Information

NPI Number : 1508693250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY NICOLE DEHERTOGH APRN
Provider Business Mailing Address
First Line : 6036 CURRAN ST
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-7453
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 HOSPITAL DR STE 270
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3244
Country : US
Telephone Number : 578-155-3596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 04/18/2026

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