Healthcare Provider Details

I. General information

NPI: 1417141854
Provider Name (Legal Business Name): SUSAN RODMAN DELANEY ND, NATUROPATHIC DOC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W WEAVER ST
CARRBORO NC
27510-2021
US

IV. Provider business mailing address

301 W WEAVER ST
CARRBORO NC
27510-2021
US

V. Phone/Fax

Practice location:
  • Phone: 919-932-6262
  • Fax: 919-932-7947
Mailing address:
  • Phone: 919-932-6262
  • Fax: 919-932-7947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number594
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: