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NPI Code Detail

MEDICARE: DANIELLE ANDERSON CRNP

MEDICARE:   DANIELLE  ANDERSON  CRNP
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
1363L00000XNurse PractitionerF01200439AL

General Provider Information

NPI Number : 1457991168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ANDERSON CRNP
Provider Business Mailing Address
First Line : 406 TAYLOR ST STE A
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-2406
Country : US
Telephone Number : 256-574-1050
Fax Number : 256-574-1045
Provider Business Practice Location Address
First Line : 406 TAYLOR ST STE A
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-2406
Country : US
Telephone Number : 256-574-1050
Fax Number : 256-574-1045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 02/03/2021

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Directions to “ DANIELLE ANDERSON CRNP” Practice Location

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