Provider Demographics
NPI:1568075067
Name:MUNSTER, DANYEL L (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DANYEL
Middle Name:L
Last Name:MUNSTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24198 US HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:RAGLAND
Mailing Address - State:AL
Mailing Address - Zip Code:35131-5325
Mailing Address - Country:US
Mailing Address - Phone:205-473-6261
Mailing Address - Fax:318-435-0104
Practice Address - Street 1:410 WILSON DR SW
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AL
Practice Address - Zip Code:36265-2754
Practice Address - Country:US
Practice Address - Phone:205-473-6261
Practice Address - Fax:318-435-0104
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-123890363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily