Doctor Name: | MS. DEBORAH ANNE DELK |
NPI Number: | 1184605701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | ARNP2512582 |
Business Practice Address: | 301 Andrews Ave Lyster Army Health Clinic Ft. Rucker, AL - 36362 |
Business Phone Number: | 3342557387 |
Business Fax Number: | |
Mailing Address: | 301 Andrews Ave, Lyster Army Health Clinic FT. RUCKER |
State: | AL |
Postal Code: | 36362 |
Phone Number: | 3342557387 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | ARNP2512582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |