Provider Demographics
NPI:1518451376
Name:HUSTON, DANIEL OAKLEY (RN)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:OAKLEY
Last Name:HUSTON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:405 BUGGY LN
Mailing Address - Street 2:
Mailing Address - City:MIFFLINBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17844-9647
Mailing Address - Country:US
Mailing Address - Phone:570-541-1626
Mailing Address - Fax:570-953-0414
Practice Address - Street 1:106 DERRY HEIGHTS BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-8604
Practice Address - Country:US
Practice Address - Phone:717-363-9283
Practice Address - Fax:717-363-9281
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN632701163W00000X, 163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163W00000XNursing Service ProvidersRegistered Nurse