Doctor Name: | DELYTE NASCH |
NPI Number: | 1467645994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP2777 |
Business Practice Address: | 460 W Finnie Flats Rd Camp Verde, AZ - 863227266 |
Business Phone Number: | 9286395555 |
Business Fax Number: | |
Mailing Address: | Po Box 3340, CAMP VERDE |
State: | AZ |
Postal Code: | 863223340 |
Phone Number: | 9286395555 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 08/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP2777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |