Provider Demographics
NPI:1023993904
Name:DELACERDA, GLENDA (RN)
Entity type:Individual
Prefix:
First Name:GLENDA
Middle Name:
Last Name:DELACERDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 LEISURE LN
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-2152
Mailing Address - Country:US
Mailing Address - Phone:694-883-5979
Mailing Address - Fax:877-215-5015
Practice Address - Street 1:307 LEISURE LN
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2152
Practice Address - Country:US
Practice Address - Phone:469-883-5979
Practice Address - Fax:877-215-5015
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX571587163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management