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Individual
AUDREY PHILLIPS DANIELS
Active
Individual
AUDREY PHILLIPS DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
VP004963W
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN235493L
RN
PA
01
—
VP004963W
CRNP
PA
Enumeration date
07/13/2006
Last updated
03/07/2023
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