Individual
MR. WILLIAM DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
106 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334
(931) 438-1100
Mailing address
37 DAY ROAD, LEOMA, TN 38468
(931) 279-1826
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000019978
TN
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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