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General NPI Number Information
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NPI Number | 1730802570
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Entity Type | Individual
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Provider Name | KRYSTYNE DANYELL MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 1577 E CHEVY CHASE DR STE 300
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City | GLENDALE
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State | CA
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Zip | 91206-4092
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Country | US
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Telephone | 818-939-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 1577 E CHEVY CHASE DR STE 300
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City | GLENDALE
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State | CA
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Zip | 91206-4092
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Country | US
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Telephone | 818-939-4040
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP1700X
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Taxonomy Name | Perinatal Nurse Practitioner
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License Number | NP95022462
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NP95022462
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP95022462
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | NP95022462
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95022462
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License Number State | CA
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