Healthcare Provider Details

I. General information

NPI: 1487737854
Provider Name (Legal Business Name): ANN MARIE F DELANO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 STANIFORD ST
BOSTON MA
02114-2503
US

IV. Provider business mailing address

18 FERREN DR
BILLERICA MA
01821-3214
US

V. Phone/Fax

Practice location:
  • Phone: 617-912-7821
  • Fax:
Mailing address:
  • Phone: 617-912-7821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberRN212476
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN212476
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: