Provider Demographics
NPI:1699256214
Name:KAISER, DELANEY L (RN, NP)
Entity type:Individual
Prefix:MRS
First Name:DELANEY
Middle Name:L
Last Name:KAISER
Suffix:
Gender:
Credentials:RN, NP
Other - Prefix:MS
Other - First Name:DELANEY
Other - Middle Name:LYNN
Other - Last Name:HARKELROAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP
Mailing Address - Street 1:11109 PARKVIEW PLAZA DR # 117
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1660 BROADWAY STE 165
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-0011
Practice Address - Country:US
Practice Address - Phone:260-266-9805
Practice Address - Fax:260-266-9815
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71008282A363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner