Healthcare Provider Details

I. General information

NPI: 1295869774
Provider Name (Legal Business Name): ROBERT J DELANEY CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 TOWSON AVE
FORT SMITH AR
72901-4921
US

IV. Provider business mailing address

1001 TOWSON AVE
FORT SMITH AR
72901-4921
US

V. Phone/Fax

Practice location:
  • Phone: 479-441-4000
  • Fax:
Mailing address:
  • Phone: 479-441-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN217061
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberC002902
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: