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NPI Code Detail

MEDICARE: MRS. DANIELA A KANTCHEVA RN,MSN,APRN,BC

MEDICARE: MRS. DANIELA A KANTCHEVA RN,MSN,APRN,BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner140910MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2431823864OTHERCORPHELATH
3724467OTHERHEALTHLINK/FREEDOM
47224467OTHERHEALTHLINK

General Provider Information

NPI Number : 1124072350
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELA A KANTCHEVA RN,MSN,APRN,BC
Provider Business Mailing Address
First Line : 402 S SILVER SPRINGS RD
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-7536
Country : US
Telephone Number : 573-334-1100
Fax Number :
Provider Business Practice Location Address
First Line : 402 S SILVER SPRINGS RD
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-7536
Country : US
Telephone Number : 573-334-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 09/17/2024

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