Daniels, Deborah Rachel

Daniels, Deborah Rachel is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Daniels, Deborah Rachel can be contacted via phone (309) 672-5522.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0001
Phone: (309) 672-5522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.009600 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.009600 Illinois

Profile Details

NPI number 1740533744
LBN Legal business name Daniels, Deborah Rachel
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Mar 27th, 2020 - about 4 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 1740533744 NPPES
Illinois Other 209.009600 STATE OF LLLINOIS
Illinois Other 309.005984 STATE OF LLLINOIS

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