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NPI Code Detail

MEDICARE: MRS. GINA DANLEY NULL APN, MSN, ANP-BC,OCN

MEDICARE: MRS. GINA DANLEY NULL APN, MSN, ANP-BC,OCN
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
1363LA2200XAdult Health Nurse PractitionerA03331AR

General Provider Information

NPI Number : 1851614648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA DANLEY NULL APN, MSN, ANP-BC,OCN
Provider Business Mailing Address
First Line : 7001 ROGERS AVE STE 200
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4022
Country : US
Telephone Number : 479-314-7490
Fax Number : 479-314-7494
Provider Business Practice Location Address
First Line : 7001 ROGERS AVE STE 200
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4022
Country : US
Telephone Number : 479-314-7490
Fax Number : 479-314-7494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2010
Last Update Date : 07/12/2022

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