Healthcare Provider Details

I. General information

NPI: 1508672809
Provider Name (Legal Business Name): DELANEY GRIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 NE 69TH ST
KANSAS CITY MO
64118-2735
US

IV. Provider business mailing address

1316 NE 69TH ST
KANSAS CITY MO
64118-2735
US

V. Phone/Fax

Practice location:
  • Phone: 501-425-8509
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number2020017554
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: