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NPI Code Detail

MEDICARE: MAGDALENE MCDANIEL PMHNP-BC

MEDICARE: MAGDALENE MCDANIEL PMHNP-BC
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
12084P0800XPsychiatry Physician226426OK

General Provider Information

NPI Number : 1376406512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGDALENE MCDANIEL PMHNP-BC
Provider Business Mailing Address
First Line : 5700 NW 154TH TERRACE
Second Line :
City : EDMOND
State : OK
Zip : 73013
Country : US
Telephone Number : 405-697-9340
Fax Number :
Provider Business Practice Location Address
First Line : 9210 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-4982
Country : US
Telephone Number : 405-934-1681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ MAGDALENE MCDANIEL PMHNP-BC” Practice Location

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