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NPI Code Detail

MEDICARE: DANIELLE N BOARD APRN

MEDICARE: DANIELLE N BOARD APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3016496KY

General Provider Information

NPI Number : 1841965936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE N BOARD APRN
Provider Business Mailing Address
First Line : 3080 STEEPLECHASE
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-4408
Country : US
Telephone Number : 270-929-3280
Fax Number :
Provider Business Practice Location Address
First Line : 452 OLD CORYDON RD
Second Line :
City : HENDERSON
State : KY
Zip : 42420-4645
Country : US
Telephone Number : 270-826-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2021
Last Update Date : 08/11/2021

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Directions to “ DANIELLE N BOARD APRN” Practice Location

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