Provider Demographics
NPI:1780732404
Name:DALY, KERI NICHOLE (RN,BC)
Entity type:Individual
Prefix:MRS
First Name:KERI
Middle Name:NICHOLE
Last Name:DALY
Suffix:
Gender:F
Credentials:RN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17022 LIGHTHOUSE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3468
Mailing Address - Country:US
Mailing Address - Phone:281-992-3869
Mailing Address - Fax:
Practice Address - Street 1:17022 LIGHTHOUSE VIEW DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3468
Practice Address - Country:US
Practice Address - Phone:281-992-3869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608775163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical