Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Fenderson, APRN, CNP

Individual provider Family Nurse Practitioner · NPI 1104390350

Daniel Fenderson, APRN, CNP is a Nurse Practitioner in Toledo, Ohio. Qualified in 2018, 8 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
8
Licensed in
MI, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2109 Hughes Dr # 720
Toledo, OH 43606-3858
Phone: (419) 291-2077
Fax: (419) 291-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.023196 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704308778 (MI)

Record details

NPI number1104390350
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedJanuary 21, 2019
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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