Provider Demographics
NPI:1346589892
Name:DANIELS, NIKIKI MARIE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:NIKIKI
Middle Name:MARIE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MISS
Other - First Name:NIKIKI
Other - Middle Name:MARIE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:3601 HILL AVE LOT 94
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-4710
Mailing Address - Country:US
Mailing Address - Phone:419-322-5698
Mailing Address - Fax:
Practice Address - Street 1:3601 HILL AVE LOT 94
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-4710
Practice Address - Country:US
Practice Address - Phone:419-322-5698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3651594374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide