Individual
MS. KELLY IRENE DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
51 SEWALL ST STE 1, PORTLAND, ME 04102
(207) 774-5761
(207) 874-7478
Mailing address
51 SEWALL ST STE 1, PORTLAND, ME 04102-2697
(207) 774-5761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP181161
ME
Other
Enumeration date
09/05/2006
Last updated
09/04/2018
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