Mcdaniel, Audrey

Mcdaniel, Audrey is an individual health care provider with primary practice located at 2434 S Eason Blvd , Tupelo MS 38804-6942. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mcdaniel, Audrey can be contacted via phone (662) 640-4595.

Contact Information

Primary practice address
2434 S Eason Blvd Tupelo MS 38804-6942
Phone: (662) 640-4595
Fax: (662) 680-6416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 327651 Mississippi

Profile Details

NPI number 1447899588
LBN Legal business name Mcdaniel, Audrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 6 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 1447899588 NPPES
Mississippi MEDICAID 00018203

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