Provider Demographics
NPI:1205639564
Name:CONEY, ANNIYA LARAE (CD)
Entity type:Individual
Prefix:
First Name:ANNIYA
Middle Name:LARAE
Last Name:CONEY
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 DELAWARE AVE STE 1716
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4743
Mailing Address - Country:US
Mailing Address - Phone:302-440-5003
Mailing Address - Fax:
Practice Address - Street 1:1207 DELAWARE AVE STE 1716
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4743
Practice Address - Country:US
Practice Address - Phone:302-440-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA7122374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula