Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 3998 | WI |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 3998-33 | WI |
NPI | 1003130303 |
---|---|
Provider Name | Andrienne M Delaney |
First Address | Waukesha, WI 53188-1534 |
Second Address | Milwaukee, WI 53226-3452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2010 |
Last Update Date | 23/04/2015 |