Provider Demographics
NPI:1407023047
Name:DELANEY, AMY ELIZABETH (RN,MSN,CPNP-ACIP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ELIZABETH
Last Name:DELANEY
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Gender:F
Credentials:RN,MSN,CPNP-ACIP
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Mailing Address - Street 1:695 TRUMAN PARKWAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136
Mailing Address - Country:US
Mailing Address - Phone:617-361-1470
Mailing Address - Fax:617-361-9060
Practice Address - Street 1:695 TRUMAN PARKWAY
Practice Address - Street 2:SUITE 203, HYDE PARK PEDIATRICS
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136
Practice Address - Country:US
Practice Address - Phone:617-361-1470
Practice Address - Fax:617-361-9060
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2009-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA210978363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics