Provider Demographics
NPI:1720012776
Name:DAILEY, MARY E (APRN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:DAILEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:210 MCNEEL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6290
Mailing Address - Country:US
Mailing Address - Phone:308-221-6262
Mailing Address - Fax:308-221-6261
Practice Address - Street 1:210 MCNEEL LN
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6290
Practice Address - Country:US
Practice Address - Phone:308-221-6262
Practice Address - Fax:308-221-6261
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE28574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE110201OtherSTATE LICENSE