Individual provider · Type 1 NPI

Theodore Joseph Daniels

Licensed Practical Nurse · Fort Wayne, IN

NPI number 1255032041 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Call (260) 426-5431 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27059463A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1255032041

Theodore Joseph Daniels's National Provider Identifier is 1255032041, issued on Mar 17, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 17, 2023.