SHANNON BROOKE DANIELS NP
NPI 1588464697
Nurse Practitioner - Gerontology in Mesa, AZ

Active since March 17, 2025
6750 E BROADWAY RD, MESA, AZ 85206(480) 756-6789 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Brooke Daniels Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON BROOKE DANIELS NP (NPI 1588464697) is an individual gerontology provider in Mesa, Arizona, licensed in Arizona (321242) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1588464697
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHANNON BROOKE DANIELSCredential: NP
Location Address6750 E BROADWAY RDMesa, AZ 85206-1700
Mailing Address109 N BarkleyMesa, AZ 85203-8933 · (602) 930-5648
Sole ProprietorYes
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
NPI 1588464697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in AZ · 321242
6750 E BROADWAY RD, Mesa, AZ 85206

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6750 E BROADWAY RD
MESA, AZ 85206
Chiropractor
6750 E BROADWAY RD
MESA, AZ 85206
Chiropractor
6750 E BROADWAY RD
MESA, AZ 85206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Daniels's NPI number?

The NPI number for Shannon Daniels is 1588464697. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Shannon Daniels located?

Shannon Daniels practices at 6750 E Broadway Rd, Mesa, AZ 85206. The listed phone number is (480) 756-6789.

What is Shannon Daniels's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Shannon Daniels was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.