Individual
DANIELLE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28238266A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015979A
IN
Other
Enumeration date
09/27/2024
Last updated
12/03/2024
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