Provider Demographics
NPI:1851866081
Name:DANIELS, CHARI LYNNETT (LVN)
Entity Type:Individual
Prefix:
First Name:CHARI
Middle Name:LYNNETT
Last Name:DANIELS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-4758
Mailing Address - Country:US
Mailing Address - Phone:903-875-5215
Mailing Address - Fax:
Practice Address - Street 1:1301 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-4758
Practice Address - Country:US
Practice Address - Phone:903-875-5215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344609164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse