IndividualActive
Daly Johnson, PA-C
NPI 1104553247 · Surgical Physician Assistant · Portland, ME
Provider details
- NPI number
- 1104553247
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA2364 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-0111
Approximate (ZIP-level) locationGet directions
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Additional practice locations (3)
- 887 Congress St Ste 400Portland, ME 04102-3163Phone: (207) 774-6368Fax: (207) 774-9388
- 335 Brighton AvePortland, ME 04102-2363Phone: (207) 662-0111Fax: (207) 662-8133
- 335 Brighton AvePortland, ME 04102-2363Phone: (207) 662-0111Fax: (207) 662-8133
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.