Individual
MS. DANIELLE THREATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
653 CHARING CROSS DR, GRAND BLANC, MI 48439-1595
(313) 399-2361
Mailing address
653 CHARING CROSS DR, GRAND BLANC, MI 48439-1595
(313) 399-2361
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
191752
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704360173
MI
Other
Enumeration date
12/02/2006
Last updated
06/02/2025
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