NPI Profile for MARK DANIELS in FLORENCE, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health, Child & Adolescent |
163WP0807X |
| NPI # | 1245649029 |
|
| Status | Active | |
| Credentials | PCNP | |
| Entity | Individual | |
| Enumeration date | 08/06/2014 | |
| Last updated | 05/28/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARK DANIELS
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