MS. DEBORAH RACHEL DANIELS APN NPI 1740533744

NPI Information

NPI: 1740533744
Provider Name: MS. DEBORAH RACHEL DANIELS, APN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
221 NE GLEN OAK AVE
PEORIA, IL
ZIP 61636
Phone: (309) 672-5522
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MS. Deborah Rachel Daniels, APN is an adult health nurse practitioner in Peoria, IL. MS. Deborah Rachel Daniels, APN NPI is 1740533744. 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:

221 NE GLEN OAK AVE
PEORIA, IL
ZIP 61636-001
Phone: (309) 672-5522

The NPI 1740533744 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2012 and was last updated on 3/27/2020.

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
1	363L00000X	Nurse Practitioner		209.009600	ILLINOIS	No
2	363LA2200X	Nurse Practitioner	Adult Health	209.009600	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209.009600	OTHER	ILLINOIS	STATE OF LLLINOIS
2	309.005984	OTHER	ILLINOIS	CONTROLLED SUBSTANCE

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: 4/28/2024

NPI Synchronization or Removal

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