Healthcare Provider Details

I. General information

NPI: 1639007727
Provider Name (Legal Business Name): CHLOE JOYCE DELANEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHLOE JOYCE CHILDS

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7650 S 59TH AVE STE 101
LAVEEN AZ
85339-3072
US

IV. Provider business mailing address

7650 S 59TH AVE STE 101
LAVEEN AZ
85339-3072
US

V. Phone/Fax

Practice location:
  • Phone: 602-237-3576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: