Individual
SUNNY R MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
120 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 892-3225
(985) 892-7677
Mailing address
1055 DAVID DR., MORGAN CITY, LA 70380-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06195
LA
363LP0200X
Pediatric Nurse Practitioner
AP06195
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626891
AMERIGROUP
LA
05
—
2119222
—
LA
01
—
60110926
LACARE
LA
Enumeration date
06/18/2010
Last updated
08/11/2022
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