Provider Demographics
NPI:1972245678
Name:DELACEY PRACTICES, PLLC
Entity Type:Organization
Organization Name:DELACEY PRACTICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DELACEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-443-5459
Mailing Address - Street 1:2080 MARLETTE AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1440
Mailing Address - Country:US
Mailing Address - Phone:775-881-8189
Mailing Address - Fax:
Practice Address - Street 1:3650 MAYBERRY DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2131
Practice Address - Country:US
Practice Address - Phone:775-881-8189
Practice Address - Fax:877-572-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care