Provider Demographics
NPI:1063454353
Name:MCDANIEL-YAKSCOE, NOREEN (MSN,CRNP)
Entity Type:Individual
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First Name:NOREEN
Middle Name:
Last Name:MCDANIEL-YAKSCOE
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Gender:F
Credentials:MSN,CRNP
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Mailing Address - Street 1:3400 CIVIC CENTER BLVD
Mailing Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4306
Mailing Address - Country:US
Mailing Address - Phone:215-590-7099
Mailing Address - Fax:267-426-5140
Practice Address - Street 1:3400 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4306
Practice Address - Country:US
Practice Address - Phone:215-590-7099
Practice Address - Fax:267-426-5140
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-07-19
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Provider Licenses
StateLicense IDTaxonomies
PASP003189D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics