Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1144472622 |
---|---|
Provider Name | Susan E Delaney |
First Address | Yarmouth, ME 04096-6125 |
Second Address | Yarmouth, ME 04096-6125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 02/12/2016 |