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NPI Code Detail

MEDICARE: DELANEY PATRICE CANTON DNP, FNP

MEDICARE: DELANEY PATRICE CANTON DNP, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner31095SC

General Provider Information

NPI Number : 1134080765
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY PATRICE CANTON DNP, FNP
Provider Business Mailing Address
First Line : PO BOX 751874
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1874
Country : US
Telephone Number : 843-402-5200
Fax Number : 843-402-5296
Provider Business Practice Location Address
First Line : 2085 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-7710
Country : US
Telephone Number : 843-577-6957
Fax Number : 843-577-6523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2025
Last Update Date : 01/07/2026

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