| Dallan H Daniels, CRNA | |
| Medical Center Blvd, Winston Salem, NC 27157-0001 | |
| (336) 716-5599 | |
| (336) 716-3202 | 
| Full Name | Dallan H Daniels | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | Medical Center Blvd, Winston Salem, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326066499 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 176154-4406 (Utah) | Primary | 
| Entity Name | South Towne Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457061533 PECOS PAC ID: 3870958176 Enrollment ID: O20230419003080 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dallan H Daniels, CRNA Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-5599 | Dallan H Daniels, CRNA Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-5599 | 
| Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797 | |
| Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
| Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
| Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
| Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
| Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
| Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 |