Provider Demographics
NPI:1144425653
Name:DELANEY, DOROTHY S (ANP)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:S
Last Name:DELANEY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10864
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99710-0864
Mailing Address - Country:US
Mailing Address - Phone:907-451-1654
Mailing Address - Fax:907-451-1611
Practice Address - Street 1:1025 W BARNETTE ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4539
Practice Address - Country:US
Practice Address - Phone:907-451-1654
Practice Address - Fax:907-451-1611
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK246363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health