Individual
MRS. EDITA AURELIA DANAIATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1256 WATERFORD DR, AURORA, IL 60504-4510
(630) 499-2399
Mailing address
100 E LEFEVRE RD, STERLING, IL 61081-1279
(815) 625-0400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.410807
IL
363L00000X
Nurse Practitioner
Primary
209.018951
IL
Other
Enumeration date
01/07/2019
Last updated
04/21/2022
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