Provider Demographics
NPI:1487548582
Name:BAMFORD, DELANEY ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:ANNE
Last Name:BAMFORD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 STEAMBOAT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5842
Mailing Address - Country:US
Mailing Address - Phone:401-632-6858
Mailing Address - Fax:
Practice Address - Street 1:171 STEAMBOAT AVE
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5842
Practice Address - Country:US
Practice Address - Phone:401-632-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant