Individual
MICHELLE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
12201 RENFERT WAY STE 225, AUSTIN, TX 78758-5369
(512) 339-6626
(512) 425-3809
Mailing address
12201 RENFERT WAY STE 225, AUSTIN, TX 78758-5369
(512) 339-6626
(512) 425-3809
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP108899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345252601
—
TX
Enumeration date
12/29/2009
Last updated
10/17/2016
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