# CYNTHIA L DANIEL

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

## Provider details

- **NPI number:** 1831143833
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 007441 | NY | — |
| 363A00000X | Physician Assistant | 1596 | MA | — |
| 363A00000X | Physician Assistant | PA2110 | KY | Yes |
| 363A00000X | Physician Assistant | TC487 | KY | — |
| 363AM0700X | Medical Physician Assistant | 1803 | TN | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 12/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1520901 | TENNESSEE MEDICAID/TENNCARE PROGRAM | TN |
| 05 | — | 1520901 | — | TN |
| 05 | — | 7100429590 | — | KY |