Individual
IMMANUELLIN DELFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6830 HOSPITAL DR STE 204, ROSEDALE, MD 21237-4377
(443) 559-5063
Mailing address
6 MAYA WAY, ROSEDALE, MD 21237-4242
(443) 938-0050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R188794
MD
363LP2300X
Primary Care Nurse Practitioner
R188794
MD
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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