Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 01076367A | IN |
Y | 207Q00000X | Family Doctor | 01076367A | IN |
N | 207Q00000X | Family Doctor | 11016991A | IN |
NPI | 1003254236 |
---|---|
Provider Name | Dr. Danyelle R Aber |
First Address | Fort Wayne, IN 46845-1717 |
Second Address | Auburn, IN 46706-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2013 |
Last Update Date | 22/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000996490 | ANTHEM (01) | IN |
201180120 | (05) | IN |