| Doctor Name: | DANA L MCDANIEL |
| NPI Number: | 1295792547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | F0206160 |
| Business Practice Address: | 902 No Riverside Rd Suite 200 St Joseph, MO - 645072559 |
| Business Phone Number: | 8162711301 |
| Business Fax Number: | 8162711302 |
| Mailing Address: | 902 No Riverside Rd, Suite 200 ST JOSEPH |
| State: | MO |
| Postal Code: | 645072559 |
| Phone Number: | 8162711301 |
| Fax Number: | 8162711302 |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 03/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0206160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |