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Mrs. Sandra D Daniel, PNP
Pediatric Nurse Practitioner in Ellaville, Georgia
NPI 1679615413

Sandra D Daniel is a Pediatric Nurse Practitioner based in Ellaville, GA and is specialized in Pediatrics. Sandra D Daniel practices in Ellaville, GA and has the professional credentials of PNP. The NPI Number for Sandra D Daniel is 1679615413 and holds a License No. RN042208 (Georgia).

The current practice location address for Sandra D Daniel is 72 South Broad, Ellaville, GA and can be reached out via phone at 229-937-5321 and via fax at 229-937-2232.

Location: 72 South Broad, Ellaville, GA, 31806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679615413
Provider Name
Sandra D Daniel
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
72 South Broad, Ellaville, GA, 31806
Phone Number
229-937-5321
Fax Number
229-937-2232
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000019F 05 GA
institution
Provider Business Practice Location Address Details
Address
72 South Broad
City
Ellaville
State
Georgia
Zip
31806
Phone Number
229-937-5321
Fax Number
229-937-2232
person
Provider Business Mailing Address Details
Address
72 South Broad
City
Ellaville
State
Georgia
Zip
31806
Phone Number
229-937-5321
Fax Number
229-937-2232
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN042208 (Georgia)
Definition
Definition to come...
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