Delesha, Karen S

Delesha, Karen S is an individual health care provider with primary practice located at 310 Belle Ave , Mankato MN 56001-5287. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Delesha, Karen S can be contacted via phone (507) 387-5581.

Contact Information

Primary practice address
310 Belle Ave Mankato MN 56001-5287
Phone: (507) 387-5581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R049049-0 Minnesota

Profile Details

NPI number 1649240458
LBN Legal business name Delesha, Karen S
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649240458 NPPES
Other 115655 UCARE
MEDICAID 441526400 UCARE
Other 07-00159 UCARE
Other HP20499 UCARE
Other 1068174 UCARE
Other 1068174 UCARE
Other 68G17DE UCARE

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