Provider Demographics
NPI:1609995117
Name:DALY, KIRSTEN ZENKER (NP, CNS)
Entity Type:Individual
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First Name:KIRSTEN
Middle Name:ZENKER
Last Name:DALY
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Gender:F
Credentials:NP, CNS
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Mailing Address - Street 1:15 STONEHEDGE RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-3028
Mailing Address - Country:US
Mailing Address - Phone:508-222-7525
Mailing Address - Fax:508-223-4145
Practice Address - Street 1:89 ACCESS RD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5229
Practice Address - Country:US
Practice Address - Phone:781-551-0999
Practice Address - Fax:781-551-3396
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2018-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA241963363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1309161Medicaid
MA1309161Medicaid