Provider Demographics
NPI:1184614422
Name:DELAHANTY, JOAN E (NP)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:E
Last Name:DELAHANTY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ASHLAND ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-1905
Mailing Address - Country:US
Mailing Address - Phone:978-468-2453
Mailing Address - Fax:
Practice Address - Street 1:27 ASHLAND ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-1905
Practice Address - Country:US
Practice Address - Phone:978-468-2453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00121459363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184614422OtherNPI
MANP5599OtherBLUE CROSS BLUE SHIELD
MANP5599Medicare PIN
Q75675Medicare UPIN