GAEA ANITA DANIEL PHD RN NPI 1710614342

NPI Information

  • NPI: 1710614342
  • Provider Name: GAEA ANITA DANIEL, PHD, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 240 MILAM DR
    ELLENWOOD, GA
    ZIP 30294
  • Phone: (229) 339-0654

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NPI Details

Gaea Anita Daniel, PHD, RN is a psychiatric/mental health nurse practitioner in Ellenwood, GA. Gaea Anita Daniel, PHD, RN NPI is 1710614342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

240 MILAM DR
ELLENWOOD, GA
ZIP 30294-987
Phone: (229) 339-0654

The enumeration date for this NPI number is 8/3/2022 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN-NP245063GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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