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Individual

REBECCA GOLDEN DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
42440 PELICAN PROFESSIONAL PARK, NORTH OAKS PEDIATRIC CLINIC, LLP, HAMMOND, LA 70403
(985) 542-4950
(985) 542-6089
Mailing address
42440 PELICAN PROFESSIONAL PARK, NORTH OAKS PEDIATRIC CLINIC, LLP, HAMMOND, LA 70403
(985) 542-4950
(985) 542-6089

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R664731
MS
363LP0200X
Pediatric Nurse Practitioner
AP04012/RN102076
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04772801
MS
05
1691691
LA
Enumeration date
09/22/2006
Last updated
10/13/2011
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