Provider Demographics
NPI:1447132428
Name:DELGADO, DIANA M (CNA BLS)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:M
Last Name:DELGADO
Suffix:
Gender:F
Credentials:CNA BLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 E FRENCH CREEK CT
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-6456
Mailing Address - Country:US
Mailing Address - Phone:208-805-6276
Mailing Address - Fax:
Practice Address - Street 1:629 E FRENCH CREEK CT
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83686-6456
Practice Address - Country:US
Practice Address - Phone:208-805-6276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID000000019157CA3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant