MEDICARE: JAMES DELAP

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	367500000X	Certified Registered Nurse Anesthetist	0024054402	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801938675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES DELAP

Provider Business Mailing Address
First Line	:	2203 CARDIFF CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23236-1578
Country	:	US
Telephone Number	:	804-745-7508
Fax Number	:	804-745-3424

Provider Business Practice Location Address
First Line	:	10800 MIDLOTHIAN TPKE STE 265
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-4700
Country	:	US
Telephone Number	:	804-594-2662
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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