Individual
KACI MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-C
Contact information
Practice address
1030 ANDREWS HWY STE 104, MIDLAND, TX 79701-3872
(432) 208-5530
Mailing address
PO BOX 4742, MIDLAND, TX 79704-4742
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1068767
TX
Other
Enumeration date
02/15/2022
Last updated
09/14/2023
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