Provider Demographics
NPI:1215584099
Name:GILBERT, DELANEY ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:ELIZABETH
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 PRAIRIE CENTER PKWY STE 2200
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4008
Mailing Address - Country:US
Mailing Address - Phone:303-498-1885
Mailing Address - Fax:
Practice Address - Street 1:1610 PRAIRIE CENTER PKWY STE 2200
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4008
Practice Address - Country:US
Practice Address - Phone:303-498-1885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0006830363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500799108Medicaid