Individual
MS. DEBORAH RACHEL DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5832 N KNOXVILLE AVE STE A2, PEORIA, IL 61614-4304
(309) 220-8545
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.009600
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009600
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
277.001981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.009600
STATE OF LLLINOIS
IL
01
—
309.005984
CONTROLLED SUBSTANCE
IL
Enumeration date
10/16/2012
Last updated
02/20/2026
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