Individual
DONALD DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(915) 867-7873
Mailing address
2622 N MORELAND BLVD APT 18, CLEVELAND, OH 44120-1484
(915) 867-7873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
430927
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.024142
OH
Other
Enumeration date
11/09/2018
Last updated
01/31/2019
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