| Doctor Name: | SCARLET DELUHERY |
| NPI Number: | 1124396015 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPN |
| License Number: | 043111149 |
| Business Practice Address: | 2077 Edgewater Dr Pekin, IL - 615547833 |
| Business Phone Number: | 3093822006 |
| Business Fax Number: | 3093822007 |
| Mailing Address: | 2077 Edgewater Dr, PEKIN |
| State: | IL |
| Postal Code: | 615547833 |
| Phone Number: | 3093822006 |
| Fax Number: | 3093822007 |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 043111149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |