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Individual

KAREN S DELESHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R049049-0
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-00159
MEDICA
01
1068174
PREFERRED ONE
01
115655
UCARE
05
441526400
MN
01
68G17DE
BCBS MN
MN
01
HP20499
HEALTH PARTNERS
Enumeration date
01/24/2006
Last updated
01/05/2011
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