Sunny R Mcdaniel, FNP-C
Nurse Practitioner, Family in Covington, LA. Individual provider (NPI-1).
NPI number1003137597
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1003137597
- Entity type
- Individual (NPI-1)
- Name
- Sunny R Mcdaniel
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2010
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP06195 | LA | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | AP06195 | LA |
Practice location
120 Innwood DrCovington, LA 70433-9123
Phone 985-892-3225 · Fax 985-892-7677
Mailing address
1055 David Dr.Morgan City, LA 70380-1300
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