Laci Ahne Daniels, RN

Individual provider Active NPI School Registered Nurse · Sidney, NY

NPI 1871154484 · NPPES record last updated Jun 25, 2019

Key facts

NPI
1871154484
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
674982 (NY)
Practice address
15 Pearl St E
Sidney, NY 13838-1597
Phone
(607) 561-7705
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
674982NYMDSchool Registered Nurse

Interoperability endpoints

  • Direct secure messaging: jmercurio@sidnecsd.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 674982 NY
School Registered Nurse 163WS0200X 674982 NY Yes

Addresses

Primary practice location

15 Pearl St E
Sidney, NY 13838-1597

Mailing address

120 Anderson LN
Greene, NY 13778-2283
Phone (607) 743-3152

Other practice location 1

169 Riverside Dr
Binghamton, NY 13905-4198
Phone (607) 798-5406

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address JMercurio@sidnecsd.org Direct

Other providers in Sidney, NY

All providers in Sidney, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.