Healthcare Provider Details

I. General information

NPI: 1609304898
Provider Name (Legal Business Name): STACEY ANN DELANEY APN, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STACEY ANN STAAB APN, CRNA

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 09/12/2025
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CAPITAL WAY
PENNINGTON NJ
08534-2520
US

IV. Provider business mailing address

111 S 11TH ST STE 8490
PHILADELPHIA PA
19107-4824
US

V. Phone/Fax

Practice location:
  • Phone: 800-637-2374
  • Fax:
Mailing address:
  • Phone: 215-955-6161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN615228
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NR17847400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: