Provider Demographics
NPI:1245566546
Name:DANIELS, HEATHER ELAINE (ARNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ELAINE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 EAGLES LANDING CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-6457
Mailing Address - Country:US
Mailing Address - Phone:407-738-9421
Mailing Address - Fax:407-518-3856
Practice Address - Street 1:1511 EAGLES LANDING CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-6457
Practice Address - Country:US
Practice Address - Phone:407-738-9421
Practice Address - Fax:407-933-5613
Is Sole Proprietor?:No
Enumeration Date:2009-10-22
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3416542363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner