Doctor Name: | DEBRA B DANIELS |
NPI Number: | 1053339622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 333431 |
Business Practice Address: | 17 Sherman St Suite 2100 Jamestown, NY - 147017080 |
Business Phone Number: | 7166642944 |
Business Fax Number: | 7164872353 |
Mailing Address: | 17 Sherman St, Suite 2100 JAMESTOWN |
State: | NY |
Postal Code: | 147017080 |
Phone Number: | 7166642944 |
Fax Number: | 7164872353 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 333431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |