Individual
LISA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
227 KINGOLD BLVD STE B, SNOW HILL, NC 28580-1303
(252) 747-8181
(252) 747-8946
Mailing address
227 KINGOLD BLVD STE B, SNOW HILL, NC 28580-1303
(252) 747-8181
(252) 747-8946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
251665
NC
163WC1500X
Community Health Registered Nurse
Primary
251665
NC
163WI0600X
Infection Control Registered Nurse
251665
NC
163WW0101X
Ambulatory Women's Health Care Registered Nurse
251665
NC
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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