Individual
DANIELLE LITA CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HOSPITAL ROAD, CALLER BOX C-268, CHEROKEE, NC 28719-9253
(828) 497-9163
(828) 497-1723
Mailing address
1 HOSPITAL ROAD, CALLER BOX C-268, CHEROKEE, NC 28719-9253
(828) 497-9163
(828) 497-1723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102766
NC
363AS0400X
Surgical Physician Assistant
102766
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093717209
—
NC
01
—
155VA
BCBS
NC
Enumeration date
06/01/2005
Last updated
04/12/2017
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