Individual
KIRSTEN LAINE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6131 S NORCROSS TUCKER RD UNIT 6, NORCROSS, GA 30093-5536
(470) 766-7246
Mailing address
240 E BELLE ISLE RD APT 603, ATLANTA, GA 30342-2397
(804) 840-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN323167
GA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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