Individual
TESSA MARIA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202003754NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500792283
—
OR
Enumeration date
06/19/2018
Last updated
12/15/2021
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