Provider Demographics
NPI:1598316614
Name:DANIEL, ANGELA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3427 NW 108TH BLVD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4967
Mailing Address - Country:US
Mailing Address - Phone:225-953-3040
Mailing Address - Fax:
Practice Address - Street 1:3427 NW 108TH BLVD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-4967
Practice Address - Country:US
Practice Address - Phone:225-953-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula