Healthcare Provider Details

I. General information

NPI: 1467367482
Provider Name (Legal Business Name): DANIELLE MICHELLE ANKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 ELSBERRY CURV
SHAKOPEE MN
55379-4487
US

IV. Provider business mailing address

2116 ELSBERRY CURV
SHAKOPEE MN
55379-4487
US

V. Phone/Fax

Practice location:
  • Phone: 612-801-4304
  • Fax:
Mailing address:
  • Phone: 612-801-4304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14656
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: