Provider Demographics
NPI:1720771157
Name:BOND, DELAINNE IVY (RN)
Entity type:Individual
Prefix:
First Name:DELAINNE
Middle Name:IVY
Last Name:BOND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7862 W IRLO BRONSON MEMORIAL HWY STE 334
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-1738
Mailing Address - Country:US
Mailing Address - Phone:585-727-4904
Mailing Address - Fax:
Practice Address - Street 1:1808 CHADBURY LOOP
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-3647
Practice Address - Country:US
Practice Address - Phone:585-727-4904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9607689163WC0400X
CA95333856163WC0400X
NY533405163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management