Individual
MEGAN NICOLE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 S 3RD ST, ENID, OK 73701-5737
(580) 977-1910
Mailing address
7037 CHISHOLM RANCH DR, ENID, OK 73703-1489
(580) 402-4013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2380
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200533980A
—
OK
01
—
P01384298
RR MEDICARE
OK
Enumeration date
01/27/2014
Last updated
03/06/2023
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