Individual
CONNIE MC DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
701 E 2ND AVE, IDA GROVE, IA 51445-1699
(712) 364-3311
Mailing address
701 E 2ND AVE, IDA GROVE, IA 51445-1699
(712) 364-3311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111480
NE
363L00000X
Nurse Practitioner
Primary
A181147
IA
363LF0000X
Family Nurse Practitioner
111480
NE
Other
Enumeration date
06/06/2013
Last updated
10/15/2024
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