Daniel, Maria Ann

Daniel, Maria Ann is an individual health care provider with primary practice located at 1551 Doctors Dr Building 200, Lagrange GA 30240-4139. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Daniel, Maria Ann can be contacted via phone (706) 884-2641.

Contact Information

Primary practice address
1551 Doctors Dr Building 200 Lagrange GA 30240-4139
Phone: (706) 884-2641
Fax: (706) 884-2353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R049602 Georgia

Profile Details

NPI number 1023003282
LBN Legal business name Daniel, Maria Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jan 11th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023003282 NPPES
Georgia MEDICAID 00824557A

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