Provider Demographics
NPI:1992185169
Name:DELANEY, AMANDA K (DPM)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:K
Last Name:DELANEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:K
Other - Last Name:MALONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-3677
Mailing Address - Country:US
Mailing Address - Phone:603-577-7900
Mailing Address - Fax:603-577-3234
Practice Address - Street 1:17 PROSPECT ST STE S201
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-577-3230
Practice Address - Fax:603-577-3234
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0388213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ060448Medicaid