Provider Demographics
NPI:1740414952
Name:DANIELS, GRETCHEN A (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:GRETCHEN
Middle Name:A
Last Name:DANIELS
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:2200 GLENWOOD DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3315
Mailing Address - Country:US
Mailing Address - Phone:407-740-5127
Mailing Address - Fax:407-740-0827
Practice Address - Street 1:1537 S. ALAFAYA TRAIL
Practice Address - Street 2:SUITE 104
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828
Practice Address - Country:US
Practice Address - Phone:407-203-3888
Practice Address - Fax:321-235-0971
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2021-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9232324363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner