Individual
NICOLE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 S 6TH ST, WILLIAMS, AZ 86046-0110
(928) 635-4441
(928) 635-4403
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72580
AZ
390200000X
Student in an Organized Health Care Education/Training Program
1908R78997
AZ
Other
Enumeration date
06/28/2021
Last updated
04/28/2026
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