MEDICARE: NYMPHA DALGADO PMHNP

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	163WP0200X	Pediatric Registered Nurse	0024122345	VA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024122345	VA

General Provider Information

NPI Number	:	1982731154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYMPHA DALGADO PMHNP

Provider Business Mailing Address
First Line	:	1640 E PARHAM RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2368
Country	:	US
Telephone Number	:	804-272-2000
Fax Number	:	804-277-2030

Provider Business Practice Location Address
First Line	:	1640 E PARHAM RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2368
Country	:	US
Telephone Number	:	804-272-2000
Fax Number	:	804-272-2030

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	05/24/2022

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