# GAIL L DANIELSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629178256
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PAC0017 | ND | Yes |

## Other

- **Enumeration date:** 09/24/2006
- **Last updated:** 03/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1456479 | — | ND |
| 01 | — | N26302 | BLUE SHIELD | ND |
| 01 | — | N714229 | MEDICARE PTAN | ND |
