Individual
MRS. KATHERINE DELGADO JANTAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
6334 CEDAR LN, SUITE 103, COLUMBIA, MD 21044-3898
(410) 531-2355
(410) 531-7041
Mailing address
6334 CEDAR LN, SUITE 103, COLUMBIA, MD 21044-3898
(410) 531-2355
(410) 531-7041
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R121680
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263108258
TRICARE NORTH
—
05
—
417307400
—
MD
01
—
83-15248
EVERCARE
—
01
—
83-20152
EVERCARE
—
01
—
948993-01
CAREFIRST BCBS OF MD
—
01
—
948993-02
CAREFIRST BCBS OF MD
—
01
—
9680-0062
CAREFIRST BCBS OF DC
—
01
—
P516-0001
CAREFIRST BCBS OF DC
—
Enumeration date
01/17/2007
Last updated
05/06/2015
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