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NPI Code Detail

MEDICARE: HEATHER C DANIEL ACNP

MEDICARE: HEATHER C DANIEL ACNP
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
1363LA2100XAcute Care Nurse PractitionerRN291112OH
2363LA2100XAcute Care Nurse PractitionerNP10007OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000579144OTHEROHANTHEM
2P00812023OTHEROHRAIL ROAD
3208679830037OTHEROHCARESOURCE
400310523OTHEROHAMERIGROUP
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61811157878OTHEROHMEDICAL MUTUAL

General Provider Information

NPI Number : 1811157878
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER C DANIEL ACNP
Provider Business Mailing Address
First Line : 103 MCKNIGHT DR
Second Line : SUITE A
City : MIDDLETOWN
State : OH
Zip : 45044-4890
Country : US
Telephone Number : 513-217-6400
Fax Number : 513-217-6037
Provider Business Practice Location Address
First Line : 103 MCKNIGHT DR
Second Line : SUITE A
City : MIDDLETOWN
State : OH
Zip : 45044-4890
Country : US
Telephone Number : 513-217-6400
Fax Number : 513-217-6037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2008
Last Update Date : 05/19/2025

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Directions to “ HEATHER C DANIEL ACNP” Practice Location

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