Healthcare Provider Details

I. General information

NPI: 1992553838
Provider Name (Legal Business Name): CHERRY DELAHAY CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6188 OXON HILL RD STE 500
OXON HILL MD
20745-3136
US

IV. Provider business mailing address

39960 STILLWATER LN
LEONARDTOWN MD
20650-5636
US

V. Phone/Fax

Practice location:
  • Phone: 301-567-0400
  • Fax:
Mailing address:
  • Phone: 301-904-3023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR171894
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: