Healthcare Provider Details

I. General information

NPI: 1700781788
Provider Name (Legal Business Name): ANTHONY MCDANIEL NRP, FP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 GREEN ST
WOODSFIELD OH
43793-1130
US

IV. Provider business mailing address

300 GREEN ST
WOODSFIELD OH
43793-1130
US

V. Phone/Fax

Practice location:
  • Phone: 304-531-6048
  • Fax:
Mailing address:
  • Phone: 304-531-6048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberWV058457
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: