Individual
MRS. HEATHER DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
919 S. 10TH ST., LEESVILLE, LA 71446
(337) 404-4106
(337) 404-4108
Mailing address
PO BOX 130, NEW LLANO, LA 71461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09432
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2479881
—
LA
Enumeration date
08/08/2017
Last updated
11/30/2022
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