Provider Demographics
NPI:1790783256
Name:KAO, DAISY P (APN)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:P
Last Name:KAO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9035
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89507-9035
Mailing Address - Country:US
Mailing Address - Phone:775-770-7351
Mailing Address - Fax:775-770-7358
Practice Address - Street 1:18653 WEDGE PKWY
Practice Address - Street 2:#300
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3323
Practice Address - Country:US
Practice Address - Phone:775-770-7210
Practice Address - Fax:775-770-7211
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN33281163W00000X
NVAPN000829363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100556Medicare ID - Type Unspecified
Q41289Medicare UPIN