Provider Demographics
NPI: | 1164939120 |
---|---|
Name: | DANIELS, QUIANA (RN,LPN) |
Entity type: | Individual |
Prefix: | |
First Name: | QUIANA |
Middle Name: | |
Last Name: | DANIELS |
Suffix: | |
Gender: | F |
Credentials: | RN,LPN |
Other - Prefix: | |
Other - First Name: | QUIANA |
Other - Middle Name: | |
Other - Last Name: | CHILDRESS-WILLIAMS |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | LPN |
Mailing Address - Street 1: | PO BOX 2031 |
Mailing Address - Street 2: | |
Mailing Address - City: | RENTON |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98056-0031 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 501-920-4653 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 809 LYONS AVE NE |
Practice Address - Street 2: | |
Practice Address - City: | RENTON |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98059-4843 |
Practice Address - Country: | US |
Practice Address - Phone: | 206-310-5101 |
Practice Address - Fax: | 206-407-3301 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2017-12-29 |
Last Update Date: | 2025-02-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | RN61423588 | 163W00000X, 163WC1500X, 163WH0200X, 163WI0500X, 163WM0102X, 163WN1003X, 163WP0808X, 163WP1700X, 163WR1000X, 163WS0200X, 163WW0000X, 163WW0101X, 163WA2000X |
WA | LP60672165 | 164W00000X |
WA | BD61646421 | 374J00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 163WA2000X | Nursing Service Providers | Registered Nurse | Administrator |
No | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 163WC1500X | Nursing Service Providers | Registered Nurse | Community Health |
No | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health |
No | 163WI0500X | Nursing Service Providers | Registered Nurse | Infusion Therapy |
No | 163WM0102X | Nursing Service Providers | Registered Nurse | Maternal Newborn |
No | 163WN1003X | Nursing Service Providers | Registered Nurse | Nutrition Support |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |
No | 163WP1700X | Nursing Service Providers | Registered Nurse | Perinatal |
No | 163WR1000X | Nursing Service Providers | Registered Nurse | Reproductive Endocrinology/Infertility |
No | 163WS0200X | Nursing Service Providers | Registered Nurse | School |
No | 163WW0000X | Nursing Service Providers | Registered Nurse | Wound Care |
No | 163WW0101X | Nursing Service Providers | Registered Nurse | Women's Health Care, Ambulatory |
No | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | |
No | 374J00000X | Nursing Service Related Providers | Doula |