Provider Demographics
NPI:1629603386
Name:GUERRIERI, DELIA EMILIA (PMHNP)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:EMILIA
Last Name:GUERRIERI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6227 W KINGS AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-1104
Mailing Address - Country:US
Mailing Address - Phone:602-635-0476
Mailing Address - Fax:
Practice Address - Street 1:6227 W KINGS AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-1104
Practice Address - Country:US
Practice Address - Phone:602-635-0476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN178295163W00000X
AZ240522363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse