Most Relevant Information
Provider Data
| NPI Number: | 1003581935 |
| Provider Name: | MICALA SUE DANIELSON CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 8384 |
Most Important Dates
| Enumeration Date: | 08/12/2021 |
| Last Updated: | 08/12/2021 |
Provider Practice Location
10 4TH AVE SE
GLENWOOD
MN
563341820
Practice Location Phone/Fax
| Phone: | 3206345157 |
| Fax: |
Provider Mailing Location
32523 STATE HIGHWAY 55
FARWELL
MN
563272056
Provider Mailing Phone/Fax
| Phone: | 3204915786 |
| Fax: |