Healthcare Provider Details

I. General information

NPI: 1699610212
Provider Name (Legal Business Name): DELANEY MIKLOS DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1132 E DRAPER PKWY
DRAPER UT
84020-9095
US

IV. Provider business mailing address

1132 E DRAPER PKWY
DRAPER UT
84020-9095
US

V. Phone/Fax

Practice location:
  • Phone: 801-878-7411
  • Fax:
Mailing address:
  • Phone: 801-878-7411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13983503
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: