Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | AP61184790 | WA |
Y | 363L00000X | Nurse Practitioner | AP61184790 | WA |
NPI | 1366013310 |
---|---|
Provider Name | Cathleen Marie Daly |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98133-8401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2021 |
Last Update Date | 26/08/2021 |