Healthcare Provider Details

I. General information

NPI: 1881379345
Provider Name (Legal Business Name): MADELYN DELBENE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

1972 CLARK AVE
ALLIANCE OH
44601-3993
US

V. Phone/Fax

Practice location:
  • Phone: 330-501-2858
  • Fax:
Mailing address:
  • Phone: 330-501-2858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.008432RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: