VICKIE LEA DELERUYELLE CNP NPI 1023013430

NPI Information

  • NPI: 1023013430
  • Provider Name: VICKIE LEA DELERUYELLE, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 151 ANDERSON LN
    WATERFORD, OH
    ZIP 45786
  • Phone: (740) 984-2332

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NPI Details

Vickie Lea Deleruyelle, CNP is a family nurse practitioner in Waterford, OH. Vickie Lea Deleruyelle, CNP NPI is 1023013430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 ANDERSON LN
WATERFORD, OH
ZIP 45786-312
Phone: (740) 984-2332
Fax: (740) 984-4435

The NPI 1023013430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 1/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP08290OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00231317OTHEROHIORRMCR
2000000699818OTHEROHIOANTHEM
33810002943MEDICAIDWEST VIRGINIA
4P91589MEDICARE UPIN
5NP87001MEDICARE PINOHIO
6000000370964OTHEROHIOANTHEM
7NP18433MEDICARE PINOHIO
82588543MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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