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Individual
MS. SUSAN RENEA DANIEL
Active
Individual
MS. SUSAN RENEA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005420
KY
364SA2200X
Adult Health Clinical Nurse Specialist
3005420
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586343
BCBS
KY
01
—
000000617640
COOP HEALTH BCBS #
KY
01
—
0992322
MEDICARE
KY
05
—
7100039400
—
KY
Enumeration date
01/18/2008
Last updated
05/14/2019
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