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

William Tanner Daniell

Individual provider Physician Assistant · NPI 1255173019

William Tanner Daniell is a Physician Assistant in Phoenix, Arizona. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2025, 1 year ago. Licensed in Arizona.

Years since qualifying
1
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
AZ
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11442 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255173019
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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