Healthcare Provider Details

I. General information

NPI: 1699597229
Provider Name (Legal Business Name): TAMARA TAYLOR DALY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMARA TAYLOR LIPPS

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 LINCOLN ST STE 203
FRAMINGHAM MA
01702-8264
US

IV. Provider business mailing address

10 BRYON RD APT 1
CHESTNUT HILL MA
02467-3304
US

V. Phone/Fax

Practice location:
  • Phone: 781-666-2711
  • Fax: 781-666-2712
Mailing address:
  • Phone: 617-894-0637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN228984
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: