Provider Demographics
NPI:1942908850
Name:DELANEY, EMILY THAMES (APRN, PMHNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:THAMES
Last Name:DELANEY
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2497 7TH AVE E STE 108
Mailing Address - Street 2:
Mailing Address - City:NORTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2949
Mailing Address - Country:US
Mailing Address - Phone:651-769-6437
Mailing Address - Fax:
Practice Address - Street 1:8441 WAYZATA BLVD STE 140
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55426-1366
Practice Address - Country:US
Practice Address - Phone:651-769-6300
Practice Address - Fax:651-769-6349
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9909363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health