Individual
DANA L MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
902 NO RIVERSIDE RD, SUITE 200, ST JOSEPH, MO 64507-2559
(816) 271-1301
(816) 271-1302
Mailing address
902 N RIVERSIDE RD STE 200, SAINT JOSEPH, MO 64507-2566
(816) 271-1301
(816) 271-1302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0206160
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295792547
—
MO
05
—
200590610B
—
KS
Enumeration date
04/28/2006
Last updated
11/21/2017
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