MEDICARE: DELACEY PRACTICES, PLLC

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	261QU0200X	Urgent Care Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841097136	OTHER	NV	CMS
2	1487423356	OTHER	NV	CMS
3	1891850335	OTHER	NV	CMS
4	1982900577	OTHER	NV	CMS

General Provider Information

NPI Number	:	1972245678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELACEY PRACTICES, PLLC

Provider Business Mailing Address
First Line	:	2080 MARLETTE AVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-1440
Country	:	US
Telephone Number	:	775-881-8189
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 MAYBERRY DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-2131
Country	:	US
Telephone Number	:	775-881-8189
Fax Number	:	775-964-6937

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	SARAH DELACEY
Credential	:
Telephone Number	:	775-443-5459

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	03/06/2025

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Directions to “DELACEY PRACTICES, PLLC ” Practice Location

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