Individual
BRENDA J. DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1530 EVANS ST, SUITE 104 - A1, GREENVILLE, NC 27834-5301
(252) 830-9222
(252) 756-4220
Mailing address
1530 EVANS ST, SUITE 104 - A1, GREENVILLE, NC 27834-5301
(252) 830-9222
(252) 756-4220
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
109310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600741
—
NC
05
—
7100352
—
NC
05
—
7702971
—
NC
Enumeration date
05/05/2006
Last updated
01/09/2017
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