Provider Demographics
NPI:1568126944
Name:DANIELS, DASHIKA (RN)
Entity Type:Individual
Prefix:
First Name:DASHIKA
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 NE 1ST AVE APT 3408
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1829
Mailing Address - Country:US
Mailing Address - Phone:786-831-4348
Mailing Address - Fax:302-216-1989
Practice Address - Street 1:837 LEE ST SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-2745
Practice Address - Country:US
Practice Address - Phone:786-831-4348
Practice Address - Fax:302-216-1989
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN231304163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health