MEDICARE: ELIZABETH W 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	163W00000X	Registered Nurse	R178468	MD

General Provider Information

NPI Number	:	1568327641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH W DANIEL

Provider Business Mailing Address
First Line	:	9689 BASKET RING RD APT 4
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-3432
Country	:	US
Telephone Number	:	301-395-0943
Fax Number	:

Provider Business Practice Location Address
First Line	:	3915 DENFELD AVE
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-1510
Country	:	US
Telephone Number	:	301-396-0943
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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