Provider Demographics
NPI:1063744340
Name:DELANEY, AMY JEAN (NP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JEAN
Last Name:DELANEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1457 N M 52
Mailing Address - Street 2:SUITE A, UNIT 2
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-1299
Mailing Address - Country:US
Mailing Address - Phone:989-723-5136
Mailing Address - Fax:989-723-8269
Practice Address - Street 1:1457 N M 52
Practice Address - Street 2:SUITE A, UNIT 2
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-1299
Practice Address - Country:US
Practice Address - Phone:989-723-5136
Practice Address - Fax:989-723-8269
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704214896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily