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NPI Code Detail

MEDICARE: ALICIA MCDANIEL APRN

MEDICARE: ALICIA MCDANIEL APRN
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
1363LA2100XAcute Care Nurse Practitioner7014651AIN

General Provider Information

NPI Number : 1225797863
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA MCDANIEL APRN
Provider Business Mailing Address
First Line : 601 GATEWAY BLVD N
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-9658
Country : US
Telephone Number : 219-921-1444
Fax Number : 219-921-5303
Provider Business Practice Location Address
First Line : 601 GATEWAY BLVD N
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-9658
Country : US
Telephone Number : 219-921-1444
Fax Number : 219-921-5303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2021
Last Update Date : 04/10/2026

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Directions to “ ALICIA MCDANIEL APRN” Practice Location

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