Provider Demographics
NPI:1972251080
Name:DELMARIANI, ANN ELIZABETH
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:DELMARIANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 E AMORE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE LEELANAU
Mailing Address - State:MI
Mailing Address - Zip Code:49653-9723
Mailing Address - Country:US
Mailing Address - Phone:517-862-8607
Mailing Address - Fax:
Practice Address - Street 1:101 E DAME ST # 3
Practice Address - Street 2:
Practice Address - City:SUTTONS BAY
Practice Address - State:MI
Practice Address - Zip Code:49682-5100
Practice Address - Country:US
Practice Address - Phone:231-715-6071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511143821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical