Healthcare Provider Details

I. General information

NPI: 1326411240
Provider Name (Legal Business Name): DANIELLE KRSINICH MILLER GUDNASON N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE MILLER N.D.

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E MAIN AVE STE A
MORGAN HILL CA
95037-3661
US

IV. Provider business mailing address

15895 JACKSON OAKS DR
MORGAN HILL CA
95037-6803
US

V. Phone/Fax

Practice location:
  • Phone: 408-664-0404
  • Fax:
Mailing address:
  • Phone: 916-837-3668
  • Fax: 844-395-8837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1338
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60610911
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: