Provider Demographics
NPI:1144264789
Name:DALY, ELIZABETH M (CNP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:M
Last Name:DALY
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:7801 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2813
Mailing Address - Country:US
Mailing Address - Phone:216-634-7400
Mailing Address - Fax:216-634-7483
Practice Address - Street 1:6707 STATE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4595
Practice Address - Country:US
Practice Address - Phone:440-888-7722
Practice Address - Fax:440-866-6040
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.06987363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2340041Medicaid
OHP75254Medicare UPIN
OH2340041Medicaid