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

Willie Daniels II

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376389064

Willie Daniels II is a Student in an Organized Health Care Education/Training Program in Moundville, Alabama. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12561 Waterbury Way
Moundville, AL 35474-0047
Phone: (334) 654-0165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376389064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address12561 Waterbury Way, Moundville, AL 35474-0047

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