Individual provider · Type 1 NPI
Michael Dwayne Daniels, FNP
Family Nurse Practitioner · Atlanta, GA
NPI number
1194990408
Active
Practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Mailing address
PO Box 466
Gordon, GA 31031-0466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN123024 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN123024 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194990408
Michael Dwayne Daniels, FNP's National Provider Identifier is 1194990408, issued on Apr 28, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 7, 2023.