Provider Demographics
NPI:1649546698
Name:DANIEL, LINDA (RN, PHD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1072 COUNTY ROAD 214
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-6694
Mailing Address - Country:US
Mailing Address - Phone:970-563-0253
Mailing Address - Fax:970-563-3695
Practice Address - Street 1:1072 COUNTY ROAD 214
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-6694
Practice Address - Country:US
Practice Address - Phone:970-563-0253
Practice Address - Fax:970-563-3695
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51487163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool