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Individual

DANIELLE MARIE SANTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
126286
CO
363LF0000X
Family Nurse Practitioner
RN 829462, NP 22407
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126286
STATE MEDICAL LICENSE
CO
01
22407
CA NP CERTIFICATE NUMBER
CA
01
829462
CA RN LICENSE
CA
05
88125548
CO
Enumeration date
01/18/2007
Last updated
10/29/2018
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