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Individual
MRS. MARY ELIZABETH DALY
Active
Individual
MRS. MARY ELIZABETH DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP PMHNP-BC, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704122721
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704122721
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4835320
—
MI
01
—
5008757500
BCBS MICHIGAN
MI
Enumeration date
10/04/2006
Last updated
06/02/2023
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