Healthcare Provider Details

I. General information

NPI: 1851200836
Provider Name (Legal Business Name): MISS STEPHANIE DELANEY ALVES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DISCOVERY BLVD
NEWARK DE
19713-1325
US

IV. Provider business mailing address

486 QUAKER FARMS RD
OXFORD CT
06478-1344
US

V. Phone/Fax

Practice location:
  • Phone: 302-831-2381
  • Fax:
Mailing address:
  • Phone: 475-226-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: