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Theodore Daniels
NPI 1255032041 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2121 Lake Ave
Fort Wayne, IN 46805 - Phone
- (260) 426-5431
- Organisation at this address
- Nihcs
Marion Vamc
Marion Vamc
Va Hospital
Va Northern Indiana HcsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 354
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana