Individual
MRS. DESTINY BROOK DELAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
422 KINETIC PARK DR, STE B, HUNTINGTON, WV 25701
(304) 523-5100
Mailing address
422 KINETIC PARK DR, STE B, HUNTINGTON, WV 25701
(304) 523-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011006466
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066715
—
OH
05
—
1710268925
—
WV
05
—
7100192550
—
KY
Enumeration date
09/01/2011
Last updated
07/12/2024
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