Provider Demographics
NPI:1699344937
Name:DANIELS, EMILY C (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:DANIELS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 E 600 S APT 30
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-2955
Mailing Address - Country:US
Mailing Address - Phone:435-881-2519
Mailing Address - Fax:
Practice Address - Street 1:825 E 600 S APT 30
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-2955
Practice Address - Country:US
Practice Address - Phone:435-881-2519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9406007-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care