MEDICARE: ANNE LAUREN DANIEL

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
1	363L00000X	Nurse Practitioner	1046249	TX

General Provider Information

NPI Number	:	1043987746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE LAUREN DANIEL

Provider Business Mailing Address
First Line	:	6001 SILTSTONE LN APT 1113
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-8024
Country	:	US
Telephone Number	:	505-907-8284
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 SILTSTONE LN APT 1113
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-8024
Country	:	US
Telephone Number	:	505-907-8284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	08/30/2021

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Directions to “ ANNE LAUREN DANIEL ” Practice Location

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