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NPI Code Detail

MEDICARE: GEORGIA ANNELLA DALEY NP

MEDICARE: GEORGIA ANNELLA DALEY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1017356TX

General Provider Information

NPI Number : 1720942725
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGIA ANNELLA DALEY NP
Provider Business Mailing Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 469-466-7173
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 469-466-7173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2025
Last Update Date : 12/13/2025

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