Delaney, Agnes Blanche
Delaney, Agnes Blanche is an individual health care provider with primary practice located at 850 Wh Smith Blvd , Greenville NC 27834-3763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Delaney, Agnes Blanche can be contacted via phone (252) 758-3211.Contact Information
Primary practice address
850 Wh Smith Blvd
Greenville NC 27834-3763
Phone: (252) 758-3211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085002145 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001009744 | North Carolina |
Profile Details
| NPI number | 1366445975 |
|---|---|
| LBN Legal business name | Delaney, Agnes Blanche |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jan 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366445975 | NPPES |
| Illinois | Other | 85002145 | STATE LICENSE |
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