Daniels, Vanessa L

Daniels, Vanessa L is an individual health care provider with primary practice located at 1701 3Rd St Se Ste 300 , Puyallup WA 98372-4511. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, 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, Vanessa L can be contacted via phone (253) 697-5767.

Contact Information

Primary practice address
1701 3Rd St Se Ste 300 Puyallup WA 98372-4511
Phone: (253) 697-5767
Fax: (253) 697-5682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00173693 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60785849 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60785849 Washington

Profile Details

NPI number 1811410442
LBN Legal business name Daniels, Vanessa L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2017
Last updated Aug 15th, 2023 - about last year

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 1811410442 NPPES
Washington MEDICAID 2086198

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