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NPI Code Detail

MEDICARE: TODD O MCDANIEL RN, MSN, FNP-C

MEDICARE: TODD O MCDANIEL RN, MSN, FNP-C
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
1363LF0000XFamily Nurse Practitioner0024169893VA
2363LF0000XFamily Nurse Practitioner63391WV

General Provider Information

NPI Number : 1497020101
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD O MCDANIEL RN, MSN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 4190
Second Line :
City : BARBOURSVILLE
State : WV
Zip : 25504-4190
Country : US
Telephone Number : 304-399-4405
Fax Number : 304-399-2526
Provider Business Practice Location Address
First Line : 601 20TH ST
Second Line :
City : HUNTINGTON
State : WV
Zip : 25703-1512
Country : US
Telephone Number : 304-399-7182
Fax Number : 304-523-7738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2012
Last Update Date : 02/05/2025

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