Individual
JAN L DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-7386
(308) 696-7385
Mailing address
PO BOX 1167, NORTH PLATTE, NE 69103-1167
(308) 696-7386
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1459
NE
Other
Enumeration date
07/22/2009
Last updated
04/22/2015
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