Individual
LAURA E. MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28159933
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71002678A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681587
ANTHEM PROVIDER NUMBER
IN
05
—
200952550
—
IN
Enumeration date
07/21/2008
Last updated
12/22/2010
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