Provider Demographics
NPI:1851891667
Name:BAUMANN, DELANEY (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:DELANEY
Middle Name:
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 AIRPORT NORTH OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-6701
Mailing Address - Country:US
Mailing Address - Phone:260-900-2339
Mailing Address - Fax:260-327-4498
Practice Address - Street 1:115 AIRPORT NORTH OFFICE PARK
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-6701
Practice Address - Country:US
Practice Address - Phone:260-900-2339
Practice Address - Fax:260-327-4498
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71007770A363L00000X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily