Provider Demographics
NPI:1679988455
Name:DELANEY, MELINDA A (RN)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:A
Last Name:DELANEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 109
Mailing Address - Street 2:
Mailing Address - City:ALPHA
Mailing Address - State:OH
Mailing Address - Zip Code:45301-0109
Mailing Address - Country:US
Mailing Address - Phone:937-269-2102
Mailing Address - Fax:
Practice Address - Street 1:1117 CHRISTI CIR
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-6377
Practice Address - Country:US
Practice Address - Phone:937-269-2102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH394715163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health