Provider Demographics
NPI:1841262565
Name:DALY, CAROLYN DEWEY (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:DEWEY
Last Name:DALY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:20781 2ND AVE W
Mailing Address - Street 2:
Mailing Address - City:CUDJOE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-4002
Mailing Address - Country:US
Mailing Address - Phone:305-745-1507
Mailing Address - Fax:305-745-1507
Practice Address - Street 1:105 OLIVIA ST
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-7379
Practice Address - Country:US
Practice Address - Phone:305-293-1741
Practice Address - Fax:305-293-1747
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2654132363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner