Individual
MEGAN MARIE DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
3188 COUNTY ROAD 30 SE, DELANO, MN 55328-8135
(763) 972-3860
Mailing address
5520 RIDGEWOOD COVE, MINNETRISTA, MN 55364
(612) 865-5262
(952) 472-3837
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R159309-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634472000
—
MN
Enumeration date
01/29/2008
Last updated
01/04/2012
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