=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699597229
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAMARA TAYLOR DALY PMHNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2024
-----------------------------------------------------
Last Update Date | 05/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 61 LINCOLN ST STE 203
-----------------------------------------------------
City | FRAMINGHAM
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01702-8264
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-666-2711
-----------------------------------------------------
Fax | 781-666-2712
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 BRYON RD APT 1
-----------------------------------------------------
City | CHESTNUT HILL
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02467-3304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-894-0637
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | RN228984
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------