Doctor Name: | MS. DELPHINE WADDELL EVERHART |
NPI Number: | 1376742676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024167380 |
Business Practice Address: | 240 Tan Bark Trl Cana, VA - 243174470 |
Business Phone Number: | 2767555191 |
Business Fax Number: | |
Mailing Address: | 4601charlotte Park Dr, Suite390 CHARLOTTE |
State: | NC |
Postal Code: | 28217 |
Phone Number: | 7405296161 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 12/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024167380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |