Individual
MERRILY DIVINE DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LM, CPM
Contact information
Practice address
165 MOKUAHI ST, MAKAWAO, HI 96768-8963
Mailing address
165 MOKUAHI ST, MAKAWAO, HI 96768-8963
(808) 280-2077
(808) 442-1454
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
21789
HI
163WH0200X
Home Health Registered Nurse
21789
HI
176B00000X
Midwife
00040004
TN
176B00000X
Midwife
5
HI
Other
Enumeration date
04/09/2016
Last updated
06/14/2024
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