Sunny R Mcdaniel
Nurse Practitioner - Pediatrics
120 Innwood Dr
Covington
, Louisiana 70433-9123
Sunny R Mcdaniel
Nurse Practitioner - Pediatrics
120 Innwood Dr
Covington
, Louisiana 70433-9123
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Sunny R Mcdaniel
- 1055 David Dr.
- Morgan City, LA
- Zip : 70380-1300
- Phone :
Second Address
- Sunny R Mcdaniel
- 120 Innwood Dr
- Covington, LA
- Zip : 70433-9123
- Fax : (985) 892-7677
- Phone : (985) 892-3225
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Is Sunny R Mcdaniel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP06195 | LA |
National Provider Identifier
| NPI | 1003137597 |
|---|---|
| Provider Name | Sunny R Mcdaniel |
| First Address | Morgan City, LA 70380-1300 |
| Second Address | Covington, LA 70433-9123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2010 |
| Last Update Date | 08/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01626891 | AMERIGROUP (01) | LA |
| 2119222 | (05) | LA |
| 60110926 | LACARE (01) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.