Delaney Fullenkamp Valid NPI

Individual provider · Multi-Specialty Clinic/Center · Mishawaka, IN

NPI

1619697133

Type

Individual (Type 1)

Primary specialty

Multi-Specialty Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QM1300X

License number

521984 (IN)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-09-02

Last updated

2026-07-28