Kimberly D Delaney, Aprn, Psyd, Llc | |
255 Sw Bluff Dr Ste 220 Bend OR 97702-3220 | |
(541) 382-3002 | |
(888) 972-6509 |
Full Name | Kimberly D Delaney, Aprn, Psyd, Llc |
---|---|
Speciality | Clinic/Center |
Location | 255 Sw Bluff Dr Ste 220, Bend, Oregon |
Authorized Official Name and Position | Kimberly D Delaney (PROVIDER/OWNER) |
Authorized Official Contact | 5413823002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kimberly D Delaney, Aprn, Psyd, Llc 255 Sw Bluff Dr Ste 220 Bend OR 97702-3220 Ph: (541) 382-3002 | Kimberly D Delaney, Aprn, Psyd, Llc 255 Sw Bluff Dr Ste 220 Bend OR 97702-3220 Ph: (541) 382-3002 |
NPI Number | 1609286095 |
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Provider Enumeration Date | 05/06/2014 |
Last Update Date | 01/29/2022 |
Certification Date | 01/29/2022 |
Medicare PECOS PAC ID | 8224380217 |
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Medicare Enrollment ID | O20181002001727 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609286095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 794 (Hawaii) | Primary |
Provider Name | Kimberly M Delaney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720280571 PECOS PAC ID: 6507934775 Enrollment ID: I20101119000704 |
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