Individual
KERRYANN DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 NW LAKE WHITNEY PL STE 102, PORT SAINT LUCIE, FL 34986-1623
(772) 873-4585
Mailing address
1426 SW HACKENSACK AVE, PORT SAINT LUCIE, FL 34953-6516
(954) 682-9101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11020582
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11020582
FL
Other
Enumeration date
09/13/2022
Last updated
11/15/2023
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