Healthcare Provider Details

I. General information

NPI: 1619808094
Provider Name (Legal Business Name): CYNTHIA DELMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 BROTHERTON WAY
AUBURN MA
01501-2684
US

IV. Provider business mailing address

4 BROTHERTON WAY
AUBURN MA
01501-2684
US

V. Phone/Fax

Practice location:
  • Phone: 508-721-1170
  • Fax:
Mailing address:
  • Phone: 508-721-1170
  • Fax: 508-836-0859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2390068
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: