Individual
ALLISON LAINE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1302 MINNICH RD, NEW HAVEN, IN 46774-2052
(260) 458-3200
(260) 458-3205
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 458-3200
(260) 458-3205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28176314A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011188A
IN
Other
Enumeration date
06/10/2021
Last updated
07/03/2021
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