Provider Demographics
NPI:1063414001
Name:DELANEY, DANIEL (CRNA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:DELANEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 BLACKSWIFT RD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3802
Mailing Address - Country:US
Mailing Address - Phone:610-584-4069
Mailing Address - Fax:
Practice Address - Street 1:123 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1382
Practice Address - Country:US
Practice Address - Phone:610-278-7456
Practice Address - Fax:610-278-7457
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN239271L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
S19928Medicare UPIN
543004Medicare ID - Type Unspecified