Provider Demographics
NPI:1225848617
Name:DELGADO, ELIZABETH MARGUERITE (LPN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARGUERITE
Last Name:DELGADO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MARGUERITE
Other - Last Name:ABEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1450 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-4602
Mailing Address - Country:US
Mailing Address - Phone:623-252-7923
Mailing Address - Fax:
Practice Address - Street 1:3300 N CENTRAL AVE STE 2500
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2505
Practice Address - Country:US
Practice Address - Phone:623-252-7923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP044123164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse