Individual
DANNIELLE PANZETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1018
(828) 327-8105
(828) 327-4245
Mailing address
4877 GOWER RD, ROOTSTOWN, OH 44272-9712
(330) 297-0811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
73778
NC
367500000X
Certified Registered Nurse Anesthetist
RN260653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379416
ANTHEM PROVIDER NUMBER
OH
05
—
2622120
—
OH
Enumeration date
01/02/2007
Last updated
05/28/2020
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