Healthcare Provider Details

I. General information

NPI: 1548124787
Provider Name (Legal Business Name): RENEE DELONEY DNP,FNP-BC, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 MAIN ST STE 102
PRINCE FREDERICK MD
20678-3188
US

IV. Provider business mailing address

489 MAIN ST STE 102
PRINCE FREDERICK MD
20678-3188
US

V. Phone/Fax

Practice location:
  • Phone: 410-414-5633
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR158554
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: