Individual
MARY DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
915 BISHOP WALSH RD, CUMBERLAND, MD 21502-1805
(301) 777-2722
(301) 777-2736
Mailing address
915 BISHOP WALSH RD, CUMBERLAND, MD 21502-1805
(301) 777-2722
(301) 777-2736
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000012337
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421928700
—
MD
Enumeration date
08/28/2007
Last updated
02/27/2014
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