Organization Name: | DELTA HEALTH AND WELLNESS CENTER |
NPI Number: | 1033554233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICEMARIE SLAVEN-EMOND (HEALTH SERVICES ADMINISTRATOR) |
Mailing Address: | 1025 Main Street Delta |
State: | CO US |
Postal Code: | 81416 |
Phone Number: | 9709647740 |
Fax Number: | 9708746330 |
NPI Enumeration Date: | 05/02/2013 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | C-APN 2573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |