Individual
MS. PATRICIA DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 768-0936
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 768-0936
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN084392
GA
363LF0000X
Family Nurse Practitioner
RN165713
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762856319B
—
GA
01
—
RN084392
GEORGIA LICENSE NUMBER
GA
Enumeration date
10/05/2006
Last updated
06/23/2011
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