Provider Demographics
NPI:1992807226
Name:DALY, GAIL P (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:P
Last Name:DALY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HANCOCK PL
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-7405
Mailing Address - Country:US
Mailing Address - Phone:732-563-0803
Mailing Address - Fax:
Practice Address - Street 1:WILLETS HEALTH CENTER
Practice Address - Street 2:11 SUYDAM ST
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2995
Practice Address - Country:US
Practice Address - Phone:732-932-9805
Practice Address - Fax:732-932-1465
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN03068300363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health