Provider Demographics
NPI:1750616371
Name:DELP, PRISCILLA G (PA)
Entity type:Individual
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First Name:PRISCILLA
Middle Name:G
Last Name:DELP
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Gender:F
Credentials:PA
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Mailing Address - Street 1:145 HOSPITAL AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1462
Mailing Address - Country:US
Mailing Address - Phone:814-371-6172
Mailing Address - Fax:814-371-3921
Practice Address - Street 1:145 HOSPITAL AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1462
Practice Address - Country:US
Practice Address - Phone:814-371-6172
Practice Address - Fax:814-371-3921
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2014-06-20
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Provider Licenses
StateLicense IDTaxonomies
PAMA056174363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical