Healthcare Provider Details

I. General information

NPI: 1538175989
Provider Name (Legal Business Name): DANITA CURTIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANITA BOVEE FNP

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 DECKER DR SUITE 100
JOHNSTOWN NY
12095-2157
US

IV. Provider business mailing address

99 E STATE ST PO BOX 1250
GLOVERSVILLE NY
12078-1203
US

V. Phone/Fax

Practice location:
  • Phone: 518-762-6731
  • Fax: 518-762-7135
Mailing address:
  • Phone: 518-762-6731
  • Fax: 518-762-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF333361
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: