Individual
NICOLE CARTER DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2180
Mailing address
609 IVY CT, LANETT, AL 36863-3309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-167103
AL
363L00000X
Nurse Practitioner
Primary
1-167103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/21/2020
Last updated
05/02/2024
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