Provider Demographics
NPI:1679664593
Name:DANIELS, NANCY M I (APRN,BC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:M
Last Name:DANIELS
Suffix:I
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9480 HUEBNER ROAD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1657
Mailing Address - Country:US
Mailing Address - Phone:210-614-9595
Mailing Address - Fax:210-615-7362
Practice Address - Street 1:9480 HUEBNER ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1657
Practice Address - Country:US
Practice Address - Phone:210-614-9595
Practice Address - Fax:210-615-7362
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX599254363LP0808X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89N353 43HQOtherBCBS
TXF0129796OtherDPS NUMBER
TX0366202-34OtherANCC PSYCH NP
TX0097871-01OtherANCC CERTIFICATION SPEC
TX039575802Medicaid
TX599254OtherNURSING-ADVANCED PRACTICE
TX599254OtherNURSING-ADVANCED PRACTICE
TXF0129796OtherDPS NUMBER
TX039575802Medicaid
TXB137998Medicare PIN