Individual
DONNA D MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
603 N PROGRESS AVE, SILOAM SPRINGS, AR 72761-4352
(479) 215-3000
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002968
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199923001
—
AR
05
—
200496100A
—
OK
Enumeration date
10/04/2006
Last updated
08/19/2022
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