Provider Demographics
NPI:1538814561
Name:DELGADO, LEAH (CNA)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14607 MEGAN LEE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4504
Mailing Address - Country:US
Mailing Address - Phone:210-818-8339
Mailing Address - Fax:
Practice Address - Street 1:14607 MEGAN LEE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4504
Practice Address - Country:US
Practice Address - Phone:210-818-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0060024579376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide