Individual
KATIE M DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
204 E 19TH ST, PANAMA CITY, FL 32405-4707
(850) 763-5409
Mailing address
480 W LAKEVIEW DR, WEWAHITCHKA, FL 32465-7523
(850) 381-9642
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9226471
FL
Other
Enumeration date
10/03/2017
Last updated
07/11/2024
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