Individual
ANDREA LYNN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
48 CENTENNIAL WAY, GREENVILLE, SC 29605-4662
(864) 455-1600
(864) 522-8005
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20682
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4295
—
SC
Enumeration date
08/11/2012
Last updated
05/07/2021
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