Healthcare Provider Details

I. General information

NPI: 1457263345
Provider Name (Legal Business Name): BEATRICE DANIELS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 HIGHWAY 79 S
PINE BLUFF AR
71603-4529
US

IV. Provider business mailing address

6701 HIGHWAY 79 S
PINE BLUFF AR
71603-4529
US

V. Phone/Fax

Practice location:
  • Phone: 870-643-9655
  • Fax:
Mailing address:
  • Phone: 870-643-9655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: