| Mrs Lori Dian Daniel, FNP-C | |
|
542 N 3rd St, Montgomery, IN 47558-5745 | |
| (812) 486-2842 | |
| (812) 486-2784 |
| Full Name | Mrs Lori Dian Daniel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 542 N 3rd St, Montgomery, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538710090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28150963A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71009476A (Indiana) | Primary |
| Entity Name | Daviess County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619154820 PECOS PAC ID: 1557271665 Enrollment ID: O20040412001435 |
| Entity Name | Montgomery Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023205754 PECOS PAC ID: 3072693126 Enrollment ID: O20080214000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lori Dian Daniel, FNP-C Po Box 102, Montgomery, IN 47558-0102 Ph: (812) 486-2842 | Mrs Lori Dian Daniel, FNP-C 542 N 3rd St, Montgomery, IN 47558-5745 Ph: (812) 486-2842 |
Jessica Ann Wright, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5066 N 900 E, Montgomery, IN 47558 Phone: 812-486-3396 | |
Tanisha Mai Chamberlain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8418 E 300 N, Montgomery, IN 47558 Phone: 812-486-6938 |