Healthcare Provider Details
I. General information
NPI: 1750985453
Provider Name (Legal Business Name): DANIELLE ESPE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/24/2020
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
444 N EOLA RD STE 110
AURORA IL
60502-9619
US
IV. Provider business mailing address
1256 WATERFORD DR STE 230
AURORA IL
60504-4511
US
V. Phone/Fax
- Phone: 630-692-5660
- Fax:
- Phone: 630-692-5560
- Fax: 630-692-5561
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 209022120 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: