Individual provider · Type 1 NPI
Gaea Anita Daniel, PhD, RN
Psychiatric/Mental Health Nurse Practitioner · Ellenwood, GA
NPI number
1710614342
Active
Practice location
240 Milam Dr
Ellenwood, GA 30294-2987
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN-NP245063 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710614342
Gaea Anita Daniel, PhD, RN's National Provider Identifier is 1710614342, issued on Aug 3, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ellenwood, GA. The record was last updated on Oct 14, 2025.