Individual
ANNETTE MARIE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, RN-BC
Contact information
Practice address
1402 E COUNTY LINE RD, SUITE 2400, INDIANAPOLIS, IN 46227-0963
(317) 887-7880
(317) 887-7660
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002393A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201011540
—
IN
01
—
P01210186
RR MEDICARE PTAN
IN
Enumeration date
05/04/2007
Last updated
06/14/2021
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