Doctor Name: | MR. MICHAEL F. DALEY |
NPI Number: | 1265404099 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 057704-23 |
Business Practice Address: | 11 Westminster Avenue Walpole, NH - 03608 |
Business Phone Number: | 6037563960 |
Business Fax Number: | |
Mailing Address: | 11 Westminster Avenue, WALPOLE |
State: | NH |
Postal Code: | 03608 |
Phone Number: | 6037563960 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 057704-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |