Basic Information
Provider Information
NPI: 1245697291
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DELANEY
FirstName: CHRISTINE
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: AGPCNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12248
Address2:  
City: NEW BERN
State: NC
PostalCode: 285612248
CountryCode: US
TelephoneNumber: 2525146685
FaxNumber: 2525142745
Practice Location
Address1: 3100 WELLONS BLVD
Address2:  
City: NEW BERN
State: NC
PostalCode: 285625247
CountryCode: US
TelephoneNumber: 2526349000
FaxNumber: 2526349001
Other Information
ProviderEnumerationDate: 01/21/2016
LastUpdateDate: 12/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X5008318NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LG0600X5008318NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LA2200X5008318NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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