Individual provider · Type 1 NPI
Daisy Lara, CRNP
Psychiatric/Mental Health Nurse Practitioner · Kennett Square, PA
NPI number
1083081772
Active
Practice location
830 West Cypress St
Kennett Square, PA 19348-2218
Other practice locations
- 201 Reeceville Rd, Coatesville, PA 19320-1542 · (610) 383-8000
- 105 Vineyard Way Ste 200, West Grove, PA 19390-8849 · (610) 444-7550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | SP014976 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP017947 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1083081772
Daisy Lara, CRNP's National Provider Identifier is 1083081772, issued on Aug 28, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kennett Square, PA. The record was last updated on Jun 18, 2021.