Individual provider · Type 1 NPI
Dominique M. Delvecchio, N.P.
Adult Health Nurse Practitioner · Santa Monica, CA
NPI number
1629409891
Active
Practice location
2716 Ocean Park Blvd. Suite 3082, Institute For Nerve Medicine
Santa Monica, CA 90405
Fax (310) 314-2414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 23581 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 23581 (CA) |
| Primary Care Nurse Practitioner | 363LP2300X | 23581 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629409891
Dominique M. Delvecchio, N.P.'s National Provider Identifier is 1629409891, issued on Dec 12, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 12, 2013.