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Individual

MISS ASHLEY MARY DELANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 454-2169
Mailing address
W2129 DAISY LN, BRILLION, WI 54110-9146
(920) 277-1994

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
13271-33
WI
363L00000X
Nurse Practitioner
Primary
13271-33
WI
363LA2100X
Acute Care Nurse Practitioner
1327-33
WI
363LP2300X
Primary Care Nurse Practitioner
13271-33
WI

Other

Enumeration date
11/02/2022
Last updated
04/15/2024
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