Provider Demographics
NPI:1265404099
Name:DALEY, MICHAEL F (ARNP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:F
Last Name:DALEY
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WESTMINSTER AVENUE
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:NH
Mailing Address - Zip Code:03608
Mailing Address - Country:US
Mailing Address - Phone:603-756-3960
Mailing Address - Fax:
Practice Address - Street 1:11 WESTMINSTER AVENUE
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:NH
Practice Address - Zip Code:03608
Practice Address - Country:US
Practice Address - Phone:603-756-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH057704-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily