Individual
DANIELLE NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
504 DOGWOOD CIR, HAVERTOWN, PA 19083-2526
(484) 306-3126
(757) 432-3216
Mailing address
504 DOGWOOD CIR, HAVERTOWN, PA 19083-2526
(484) 645-2015
(757) 432-3216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP015324
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP031865
PA
Other
Enumeration date
10/07/2015
Last updated
06/30/2025
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