Individual
CASEY DELACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 CHESTNUT ST, CHESTER, PA 19013-4841
(267) 512-0422
Mailing address
119 9TH AVE, FOLSOM, PA 19033-2008
(610) 952-6882
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP016219
PA
Other
Enumeration date
07/01/2016
Last updated
01/10/2023
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