Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3016405 | KY |
N | 363L00000X | Nurse Practitioner | APRN.CNP.025026 | OH |
NPI | 1003477118 |
---|---|
Provider Name | Danielle Arthur |
First Address | Vanceburg, KY 41179-0550 |
Second Address | South Shore, KY 41175-9306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2019 |
Last Update Date | 25/10/2021 |