Individual
KAREN S DELESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
310 BELLE AVE, MANKATO, MN 56001-5287
(507) 387-5581
Mailing address
1555 MOURNING DOVE PATH, MANKATO, MN 56001-6212
(507) 388-5513
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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