Provider Demographics
NPI:1770292229
Name:GARDNER-DANIELS, ARLENE (FNP)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:
Last Name:GARDNER-DANIELS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 CROSS CREEK CIR APT E1
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5088
Mailing Address - Country:US
Mailing Address - Phone:919-300-9338
Mailing Address - Fax:
Practice Address - Street 1:1217 CROSS CREEK CIR APT E1
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5088
Practice Address - Country:US
Practice Address - Phone:252-341-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF11220186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily