Individual
DANIEL FENDERSON
Active
Individual
DANIEL FENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704308778
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023196
OH
Other
Enumeration date
01/21/2019
Last updated
06/17/2024
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