Individual
JOAN ELLEN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
631 MAIN STREET, BETHEL, AK 99559
(907) 543-3773
Mailing address
PO BOX 229, BETHEL, AK 99559-0229
(510) 449-9034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120926
AK
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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