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NPI Code Detail

MEDICARE: DELORI M DULANY ARNP

MEDICARE: DELORI M DULANY ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner9323161FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FG936XOTHERFLMEDICARE HF

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285690461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORI M DULANY ARNP
Provider Business Mailing Address
First Line : 3300 S FISKE BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-4306
Country : US
Telephone Number : 321-268-4200
Fax Number :
Provider Business Practice Location Address
First Line : 8725 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32940-2239
Country : US
Telephone Number : 321-268-4200
Fax Number : 321-253-4338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 06/04/2025

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Directions to “ DELORI M DULANY ARNP” Practice Location

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