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Contact Information

MARK DANIELS, PCNP
340 9TH ST
FLORENCE, OR97439
 Phone: 541-902-1634
 Fax: 541-902-9702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Adolescent

163WP0807X
Indicates primary specialty

NPI Profile & details for MARK DANIELS · (Male)

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
  • NM License # 53268
  • OR License # 201402362RN
  • OR License # 201810942NP-PP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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