Individual
ANDREA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 10TH ST, COLUMBUS, GA 31901-2899
(706) 653-4258
Mailing address
4402 RIVERCHASE DR APT 3411, PHENIX CITY, AL 36867-7549
(706) 587-5700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMH11240024
GA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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