Maureen Bridgid Dally, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704175780 Issued in MI

Practice address

6110 W Willow Hwy
Lansing, MI 48917-1215

Phone

(517) 321-7248

Fax

(517) 321-4493

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528133196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80586",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489080586",
            "telephone_number": "517-321-7248",
            "fax_number": "517-321-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 W WILLOW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171215",
            "telephone_number": "517-321-7248",
            "fax_number": "517-321-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLY",
        "first_name": "MAUREEN",
        "middle_name": "BRIDGID",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704175780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Lansing, MI
• Providers in Lansing, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.