=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053633537
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEGHAN M DELANEY WHNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2010
-----------------------------------------------------
Last Update Date | 12/18/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6301 S MCCLINTOCK DR SUITE 215
-----------------------------------------------------
City | TEMPE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85283-3392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-820-6657
-----------------------------------------------------
Fax | 480-730-0803
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2545 W FRYE RD SUITE 9
-----------------------------------------------------
City | CHANDLER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85224-6273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-505-4258
-----------------------------------------------------
Fax | 480-275-8346
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | AP3576
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------