Provider Demographics
NPI:1376670505
Name:DALEY, JULIE M (RN MS CDE)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:M
Last Name:DALEY
Suffix:
Gender:F
Credentials:RN MS CDE
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:SLOCUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN MS CDE
Mailing Address - Street 1:251 CAPRON FARM DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7739
Mailing Address - Country:US
Mailing Address - Phone:401-274-1122
Mailing Address - Fax:401-459-0108
Practice Address - Street 1:101 DUDLEY ST
Practice Address - Street 2:WOMEN & INFANTS' HOSPITAL
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-2401
Practice Address - Country:US
Practice Address - Phone:401-274-1122
Practice Address - Fax:401-159-0108
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI22131163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI405821OtherBLUCHP
RI25436-2OtherBLUC CROSSBLUE SHIELD
RI63-00094OtherUNITED HEALTH CARE