Individual provider · Type 1 NPI

Demetris Daniels

Family Nurse Practitioner · Detroit, MI

NPI number 1215412416 Active

Practice location

18610 Fenkell St
Detroit, MI 48223-2378

Fax (134) 244-0583

Mailing address

PO Box 746723
Atlanta, GA 30374-6723

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704227963 (MI)
Internal Medicine Physician 207R00000XF08180197 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1215412416

Demetris Daniels's National Provider Identifier is 1215412416, issued on Oct 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on Sep 2, 2021.