Individual
KELLEY ELLISSA DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
64 BLEECKER ST # 151, NEW YORK, NY 10012-2410
(302) 313-1584
Mailing address
7 FOSTER RD, PEMAQUID, ME 04558-4009
(203) 214-5980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004126
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
305369
NY
Other
Enumeration date
08/11/2009
Last updated
10/19/2022
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