MEDICARE: LYNETTE DELGADO FNP

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	F06240111	TX

General Provider Information

NPI Number	:	1710710363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNETTE DELGADO FNP

Provider Business Mailing Address
First Line	:	11620 PELLICANO DR STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6250
Country	:	US
Telephone Number	:	915-996-9363
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 N CAMPBELL ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-1402
Country	:	US
Telephone Number	:	915-212-1384
Fax Number	:

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

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	10/02/2025

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