Healthcare Provider Details

I. General information

NPI: 1003801846
Provider Name (Legal Business Name): MARGARET ANN DALY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ANN DALY ARNP

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 08/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MASSACHUSETTS ST
LAWRENCE KS
66046-4827
US

IV. Provider business mailing address

1017 HICKORY CT
EUDORA KS
66025-8934
US

V. Phone/Fax

Practice location:
  • Phone: 785-832-4846
  • Fax: 785-843-8815
Mailing address:
  • Phone: 785-542-2343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR0069965
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number44182
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number147651
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: