Individual
RACHEL ANN WILDMAN DELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN-CNP NNP-BC
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401-1164
(843) 985-1569
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
24385
SC
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN.CNP.13049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104367549
NATIONAL CERTIFYING CORPORATION
—
01
—
24385
SC APRN LICENSE
SC
01
—
APRN.CNP.13049
OHIO APRN LICENSE
OH
01
—
RN.339992
OHIO RN LICENSE
OH
Enumeration date
01/24/2012
Last updated
11/30/2020
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