Healthcare Provider Details

I. General information

NPI: 1679988455
Provider Name (Legal Business Name): MELINDA A DELANEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 05/17/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 CHRISTI CIR
BEAVERCREEK OH
45434-6377
US

IV. Provider business mailing address

PO BOX 109
ALPHA OH
45301-0109
US

V. Phone/Fax

Practice location:
  • Phone: 937-269-2102
  • Fax:
Mailing address:
  • Phone: 937-269-2102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number394715
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: