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NPI Code Detail

MEDICARE: CHRISTINE NICOLE DANIEL FNP-BC

MEDICARE:   CHRISTINE NICOLE DANIEL  FNP-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
1363LF0000XFamily Nurse Practitioner209023747IL

General Provider Information

NPI Number : 1609540442
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE NICOLE DANIEL FNP-BC
Provider Business Mailing Address
First Line : PO BOX 735376
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5376
Country : US
Telephone Number : 847-910-3421
Fax Number :
Provider Business Practice Location Address
First Line : 50 PLEASANT AVE
Second Line :
City : HIGHWOOD
State : IL
Zip : 60040-1813
Country : US
Telephone Number : 847-432-9142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2021
Last Update Date : 03/13/2024

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Directions to “ CHRISTINE NICOLE DANIEL FNP-BC” Practice Location

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