Provider Demographics
NPI:1346076858
Name:MCDANIEL, DELANEY MAY (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:MAY
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-4334
Mailing Address - Country:US
Mailing Address - Phone:781-640-8897
Mailing Address - Fax:
Practice Address - Street 1:188 LINDEN ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7933
Practice Address - Country:US
Practice Address - Phone:781-235-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2335361363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily