Provider Demographics
NPI:1760278287
Name:DELSO, NATASHA
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:
Last Name:DELSO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 N MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-2759
Mailing Address - Country:US
Mailing Address - Phone:308-442-9007
Mailing Address - Fax:
Practice Address - Street 1:910 AUTUMN PARK DR APT C
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7738
Practice Address - Country:US
Practice Address - Phone:308-442-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion