Provider Demographics
NPI:1235727645
Name:DAILY, KAMI MARIE (CNP)
Entity Type:Individual
Prefix:
First Name:KAMI
Middle Name:MARIE
Last Name:DAILY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6517
Mailing Address - Country:US
Mailing Address - Phone:754-465-8015
Mailing Address - Fax:575-446-5814
Practice Address - Street 1:250 1ST ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6517
Practice Address - Country:US
Practice Address - Phone:754-465-8015
Practice Address - Fax:575-446-5814
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM59059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily