Doctor Name: | MRS. AMY DELSIGNORE |
NPI Number: | 1235568965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 54412 |
Business Practice Address: | 299 Halde St Keyser, WV - 267263006 |
Business Phone Number: | 3042893073 |
Business Fax Number: | 3042895116 |
Mailing Address: | 299 Halde St, KEYSER |
State: | WV |
Postal Code: | 267263006 |
Phone Number: | 3042893073 |
Fax Number: | 3042895116 |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 54412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |