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NPI Code Detail

MEDICARE: ELIZABETH KATHERINE DANIELS FNP

MEDICARE: ELIZABETH KATHERINE DANIELS FNP
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
1363L00000XNurse Practitioner27674TN
2363LF0000XFamily Nurse Practitioner16651WI
3363LF0000XFamily Nurse Practitioner27674TN
4363LF0000XFamily Nurse PractitionerAPRN11024213FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699399188
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH KATHERINE DANIELS FNP
Provider Business Mailing Address
First Line : 6904 ARNO ALLISONA RD
Second Line :
City : COLLEGE GROVE
State : TN
Zip : 37046-9213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-303-6413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2020
Last Update Date : 01/09/2026

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