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Daniela M Edson, AGACNP,NP
Gerontology Nurse Practitioner in South Bend, Indiana
NPI 1447721105

Daniela M Edson is a Gerontology Nurse Practitioner based in Granger, IN and is specialized in Gerontology. Daniela M Edson practices in South Bend, IN and has the professional credentials of AGACNP,NP. The NPI Number for Daniela M Edson is 1447721105 and holds a License No. 71008852A (Indiana).

The current practice location address for Daniela M Edson is 621 Memorial Dr Ste 502, South Bend, IN and can be reached out via phone at 574-647-5875 and via fax at 574-647-5878.

Location: 621 Memorial Dr Ste 502, South Bend, IN, 46530-1380
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Provider Profile Details
NPI Number
1447721105
Provider Name
Daniela M Edson
Credential
AGACNP,NP
Provider Entity Type
Individual
Gender
Female
Address
621 Memorial Dr Ste 502, South Bend, IN, 46530-1380
Phone Number
574-647-5875
Fax Number
574-647-5878
Provider Enumeration Date
12/06/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300024411 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 502
City
State
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 502
City
State
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71008852A (Indiana)
Definition
Definition to come...
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