MEDICARE: DELANEY DYANNA RICHARDS 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
1	363LF0000X	Family Nurse Practitioner	F09190703	IA

General Provider Information

NPI Number	:	1558912386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELANEY DYANNA RICHARDS ARNP

Provider Business Mailing Address
First Line	:	10662 WASHINGTON RD
Second Line	:
City	:	WEST BURLINGTON
State	:	IA
Zip	:	52655-8665
Country	:	US
Telephone Number	:	319-750-9027
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 SPRING ST
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-4926
Country	:	US
Telephone Number	:	319-750-9027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	09/23/2019

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