Doctor Name: | MRS. AMY JEAN DELANEY |
NPI Number: | 1063744340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704214896 |
Business Practice Address: | 1457 N M 52 Suite A, Unit 2 Owosso, MI - 488671299 |
Business Phone Number: | 9897235136 |
Business Fax Number: | 9897238269 |
Mailing Address: | 1457 N M 52, Suite A, Unit 2 OWOSSO |
State: | MI |
Postal Code: | 488671299 |
Phone Number: | 9897235136 |
Fax Number: | 9897238269 |
NPI Enumeration Date: | 02/11/2010 |
NPI Last Update Date: | 02/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704214896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |