Individual
DANIEL B JOHANNESMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-3003
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1029342
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP9316798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003228600
—
FL
Enumeration date
01/25/2011
Last updated
06/03/2021
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