Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9417047 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN9417047 | FL |
NPI | 1003157470 |
---|---|
Provider Name | Daniel Richard Stairiker |
First Address | Atlanta, GA 30374-3144 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2013 |
Last Update Date | 16/02/2021 |