Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP3576 | AZ |
NPI | 1053633537 |
---|---|
Provider Name | Meghan M Delaney |
First Address | Chandler, AZ 85224-6273 |
Second Address | Tempe, AZ 85283-3392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2010 |
Last Update Date | 18/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
888819 | (05) | AZ |