Individual provider · NPI-1

Mary Catherine Delucia, WHCNP

Nurse Practitioner, Women's Health · Southgate, MI

NPI number1245218528
StatusActive
Last updated in NPPESFeb 21, 2017

Details

NPI
1245218528
Entity type
Individual (NPI-1)
Name
Mrs. Mary Catherine Delucia
Credential
WHCNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2006
Last updated
Feb 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's Health4704127749MIYes

Other names

  • Mary Catherine Pelak (Other Name)

Practice location

15675 Northline Rd
Southgate, MI 48195-2334

Phone 734-282-3600 · Fax 734-282-3603

Mailing address

1640 Fort St
Suite D Attn: Denise
Trenton, MI 48183-2040

Phone 734-391-3057 · Fax 734-391-3052

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