Healthcare Provider Details

I. General information

NPI: 1841936945
Provider Name (Legal Business Name): CHRIS RONALD DALY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 6TH AVE SE
SIDNEY MT
59270-5132
US

IV. Provider business mailing address

621 6TH AVE SE
SIDNEY MT
59270-5132
US

V. Phone/Fax

Practice location:
  • Phone: 580-483-9298
  • Fax:
Mailing address:
  • Phone: 580-483-9298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number127710
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number127710
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number127710
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number127710
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number127710
License Number StateMT
# 6
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number127710
License Number StateMT
# 7
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number127710
License Number StateMT
# 8
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number127710
License Number StateMT
# 9
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number127710
License Number StateMT
# 10
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number127710
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: