Individual
GWENDOLYN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
(972) 715-3800
Mailing address
1837 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1333
(334) 264-8416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-128121
AL
363LG0600X
Gerontology Nurse Practitioner
1-128121
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-128121
AL
Other
Enumeration date
01/12/2022
Last updated
02/13/2026
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