Individual
COURTNEY RENEE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
(305) 243-0143
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
(305) 243-0143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013394
NC
363L00000X
Nurse Practitioner
95010892
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11022815
FL
Other
Enumeration date
02/12/2019
Last updated
04/23/2025
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