Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R 081679-9 | MN |
Y | 363LA2200X | Nurse Practitioner - Adult Health | R 081679-9 | MN |
NPI | 1013944578 |
---|---|
Provider Name | Mary Margaret Danich |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 06/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1019358 | PREFERRED ONE (01) | MN |
123322 | UCARE (01) | MS |
15G20DA | ARAZ (01) | MN |
727018600 | (05) | MN |
74-00008 | MEDICA CHOICE (01) | MN |
74-25181 | MEDICA PRIMARY (01) | MN |
847095 | ARAZ (01) | MN |