Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | COA02901NS | OH |
NPI | 1962544189 |
---|---|
Provider Name | Nancy Danielson |
First Address | Sheffield Lake, OH 44054-2021 |
Second Address | Lorain, OH 44053-3821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 06/09/2012 |