Ellen Daly, ARNP

Individual provider Active NPI Adult Health Nurse Practitioner · Lecanto, FL

NPI 1649600503 · NPPES record last updated Nov 13, 2013

Key facts

NPI
1649600503
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
ARNP 1915542 (FL)
Practice address
2385 N Lecanto Hwy
Lecanto, FL 34461-9677
Phone
(352) 746-0077
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ARNP 1915542FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Podiatry Center PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 1915542 FL Yes

Addresses

Primary practice location

2385 N Lecanto Hwy
Lecanto, FL 34461-9677

Mailing address

PO Box 1120
Lecanto, FL 34460-1120
Phone (352) 746-0077

Other providers in Lecanto, FL

All providers in Lecanto, FL · Adult Health Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.