| Doctor Name: | CONNIE DELGADO |
| NPI Number: | 1568529048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA11124 |
| Business Practice Address: | 49111 Hwy 111 4 Coachella, CA - 92236 |
| Business Phone Number: | 7603930555 |
| Business Fax Number: | |
| Mailing Address: | 44560 Buckingham St, INDIO |
| State: | CA |
| Postal Code: | 922012963 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | PA11124 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |