Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.025070 | OH |
NPI | 1033771449 |
---|---|
Provider Name | Mr. Aaron Lee Mcdaniel |
First Address | Dublin, OH 43017-1762 |
Second Address | Toledo, OH 43606-5530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2019 |
Last Update Date | 08/07/2019 |