Individual
DEBRA B DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2609
(716) 708-6578
Mailing address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2609
(716) 708-6578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
333431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02518789
—
NY
Enumeration date
07/18/2006
Last updated
09/20/2020
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