Provider Demographics
NPI:1740510452
Name:DALY, DONALD LEE (RNP)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEE
Last Name:DALY
Suffix:
Gender:M
Credentials:RNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1401 CABALLERO DR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-4466
Mailing Address - Country:US
Mailing Address - Phone:505-539-5642
Mailing Address - Fax:505-539-5647
Practice Address - Street 1:1401 CABALLERO DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-4466
Practice Address - Country:US
Practice Address - Phone:505-539-5642
Practice Address - Fax:505-539-5647
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2020-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA268036363LA2200X
NM55252363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health