Individual provider · Type 1 NPI
Shannon Brooke Daniels, NP
Gerontology Nurse Practitioner · Mesa, AZ
NPI number
1588464697
Active
Practice location
6750 E Broadway Rd
Mesa, AZ 85206-1700
Mailing address
109 N Barkley
Mesa, AZ 85203-8933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 321242 (AZ) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1588464697
Shannon Brooke Daniels, NP's National Provider Identifier is 1588464697, issued on Mar 17, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mesa, AZ. The record was last updated on Mar 17, 2025.