Provider Demographics
NPI:1588722441
Name:DELP, VERNA C (CRNFA)
Entity type:Individual
Prefix:
First Name:VERNA
Middle Name:C
Last Name:DELP
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 N MANN AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-1263
Mailing Address - Country:US
Mailing Address - Phone:520-291-2302
Mailing Address - Fax:
Practice Address - Street 1:631 N MANN AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1263
Practice Address - Country:US
Practice Address - Phone:520-291-2302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN036339163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ812281Medicaid
87621OtherPACIFICARE
5007026OtherAETNA
AZ0090620OtherBLUE CROSS
1Z5397OtherHEALTH NET