Basic Information
Provider Information
NPI: 1003801846
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DALY
FirstName: MARGARET
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DALY
OtherFirstName: MARGARET
OtherMiddleName: ANN
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential: ARNP
OtherLastNameType: 2
Mailing Information
Address1: 1017 HICKORY CT
Address2:  
City: EUDORA
State: KS
PostalCode: 660258934
CountryCode: US
TelephoneNumber: 7855422343
FaxNumber:  
Practice Location
Address1: 2415 MASSACHUSETTS ST
Address2:  
City: LAWRENCE
State: KS
PostalCode: 660464827
CountryCode: US
TelephoneNumber: 7858324846
FaxNumber: 7858438815
Other Information
ProviderEnumerationDate: 09/19/2005
LastUpdateDate: 08/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X147651MON Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LW0102X44182KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LW0102XR0069965OKN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

ID Information
IDTypeStateIssuerDescription
R006996501OKNURSE LICENSEOTHER
16161801KSBLUE CROSS & BLUE SHEILDOTHER
4418201KSARNP LICENSEOTHER


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