Theodore Joseph Daniels Valid NPI
Individual provider · Licensed Practical Nurse · Fort Wayne, IN
- NPI
- 1255032041
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- 27059463A (IN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-03-17
- Last updated
- 2023-03-17
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
(260) 426-5431