Individual
MRS. NADINE MARIE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
4505 BALI CT NE, ALBUQUERQUE, NM 87111-2801
(505) 264-3102
Mailing address
7623 VIA SERENO SW, ALBUQUERQUE, NM 87121-8838
(505) 344-4204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-3933
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-3933
SLP CLINICAL FELLOW
NM
Enumeration date
01/24/2007
Last updated
07/08/2007
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