Healthcare Provider Details

I. General information

NPI: 1871021444
Provider Name (Legal Business Name): DANIELLE MARKEETA SALES DNP, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2017
Last Update Date: 03/10/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W D.L. INGRAM AVENUE BLDG. 1408
CANNON AFB NM
88103
US

IV. Provider business mailing address

224 W D.L. INGRAM AVE. BLDG. 1408
CANNON AFB NM
88103
US

V. Phone/Fax

Practice location:
  • Phone: 575-904-3917
  • Fax:
Mailing address:
  • Phone: 575-904-3917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberLH-0000221
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: