Provider Demographics
NPI:1386284107
Name:MCDANIEL, MARGARET JOAN (RN, BAN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JOAN
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:RN, BAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:WORLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82401-0172
Mailing Address - Country:US
Mailing Address - Phone:307-840-1695
Mailing Address - Fax:
Practice Address - Street 1:1910 SAGE CROSSING AVE
Practice Address - Street 2:
Practice Address - City:WORLAND
Practice Address - State:WY
Practice Address - Zip Code:82401
Practice Address - Country:US
Practice Address - Phone:307-840-1695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY20165163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse