Provider Demographics
NPI:1538342860
Name:STAMPP, DELILAH ANCHETA (MD)
Entity type:Individual
Prefix:DR
First Name:DELILAH
Middle Name:ANCHETA
Last Name:STAMPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DELILAH
Other - Middle Name:
Other - Last Name:ANCHETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1135 S. MAIN STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005
Mailing Address - Country:US
Mailing Address - Phone:575-525-4000
Mailing Address - Fax:575-525-4040
Practice Address - Street 1:1135 S. MAIN STREET
Practice Address - Street 2:SUITE B
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005
Practice Address - Country:US
Practice Address - Phone:575-525-4000
Practice Address - Fax:575-525-4040
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2009-0699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM48406538Medicaid