MEDICARE: DELANEY BAUMANN FNP-C, PMHNP-BC

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
1	363L00000X	Nurse Practitioner	71007770A	IN
2	363LF0000X	Family Nurse Practitioner	71007770A	IN
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71007770A	IN

General Provider Information

NPI Number	:	1851891667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELANEY BAUMANN FNP-C, PMHNP-BC

Provider Business Mailing Address
First Line	:	6633 E STATE BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-7010
Country	:	US
Telephone Number	:	260-900-2339
Fax Number	:	260-231-3374

Provider Business Practice Location Address
First Line	:	6633 E STATE BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-7010
Country	:	US
Telephone Number	:	260-900-2339
Fax Number	:	260-231-3374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2018
Last Update Date	:	06/25/2025

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