Individual
PENELOPE L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1530 NORWAY AVENUE, HUNTINGTON, WV 25709
(304) 525-7801
(304) 522-0686
Mailing address
PO BOX 448, HUNTINGTON, WV 25709
(304) 525-7801
(304) 522-0686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22606
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001837
—
WV
Enumeration date
12/04/2006
Last updated
07/08/2007
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