Provider Demographics
NPI:1104920891
Name:DELBELLO, CATHERINE V ICTORIA (CRNP)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:V ICTORIA
Last Name:DELBELLO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 PAXON PL
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1121
Mailing Address - Country:US
Mailing Address - Phone:610-566-0623
Mailing Address - Fax:
Practice Address - Street 1:EXAMINATION MANAGEMENT SERVICES, INC.
Practice Address - Street 2:3050 REGENT BLVD. STE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063
Practice Address - Country:US
Practice Address - Phone:214-689-8094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP006562B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily