Provider Demographics
NPI:1003130303
Name:DELANEY, ANDRIENNE M (APNP)
Entity Type:Individual
Prefix:
First Name:ANDRIENNE
Middle Name:M
Last Name:DELANEY
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2036 COBBLESTONE CT
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1534
Mailing Address - Country:US
Mailing Address - Phone:262-366-2903
Mailing Address - Fax:888-288-4890
Practice Address - Street 1:10701 W RESEARCH DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3452
Practice Address - Country:US
Practice Address - Phone:262-366-2903
Practice Address - Fax:888-288-4890
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3998363L00000X
WI3998-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner