| Doctor Name: | LORETTA K DANIELS |
| NPI Number: | 1992941157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 679 |
| Business Practice Address: | 405 W Pearl St Atkinson, NE - 687134882 |
| Business Phone Number: | 4029252811 |
| Business Fax Number: | |
| Mailing Address: | Po Box 70, STUART |
| State: | NE |
| Postal Code: | 687800070 |
| Phone Number: | 4029243777 |
| Fax Number: | 4029243776 |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |