Provider Demographics
NPI:1346807443
Name:DANIELS, KAREN (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 11TH ST NW STE G
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-5069
Mailing Address - Country:US
Mailing Address - Phone:563-559-6950
Mailing Address - Fax:
Practice Address - Street 1:1320 11TH ST NW STE G
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-5069
Practice Address - Country:US
Practice Address - Phone:563-559-6950
Practice Address - Fax:563-726-7699
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA122180363LF0000X
IL041.425530363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily