Individual
REGINA GABRIELLE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
545 VALLEY VIEW DRIVE, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Mailing address
545 VALLEY VIEW DRIVE, MOLINE, IL 61265-6138
(309) 762-5560
(309) 277-1191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-096486
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.012784
IL
Other
Enumeration date
02/08/2010
Last updated
08/12/2015
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