Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NT00001627 | WA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP60325062 | WA |
NPI | 1003096082 |
---|---|
Provider Name | Dr. Jennifer Christine Daniels |
First Address | Seattle, WA 98118-5569 |
Second Address | Seattle, WA 98118-5569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2007 |
Last Update Date | 30/09/2015 |