Provider Demographics
NPI:1992585673
Name:OSWALD-DANIELS, SADIE CLEON (RN, CMS)
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:CLEON
Last Name:OSWALD-DANIELS
Suffix:
Gender:F
Credentials:RN, CMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 COLUMBIA HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-5633
Mailing Address - Country:US
Mailing Address - Phone:360-560-4283
Mailing Address - Fax:
Practice Address - Street 1:1600 MAPLE ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-3907
Practice Address - Country:US
Practice Address - Phone:360-442-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60459797163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical