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NPI Code Detail

MEDICARE: SHARON MCDANIEL NP-C

MEDICARE: SHARON MCDANIEL NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner122456AR

General Provider Information

NPI Number : 1174946149
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON MCDANIEL NP-C
Provider Business Mailing Address
First Line : 408 OFFICE PARK DR STE OFFICE
Second Line :
City : BRYANT
State : AR
Zip : 72022-7534
Country : US
Telephone Number : 501-539-6836
Fax Number : 501-943-8022
Provider Business Practice Location Address
First Line : 408 OFFICE PARK DR STE 2
Second Line :
City : BRYANT
State : AR
Zip : 72022-7536
Country : US
Telephone Number : 501-539-6836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2014
Last Update Date : 01/06/2022

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Directions to “ SHARON MCDANIEL NP-C” Practice Location

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