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Individual

DANIELLE AGUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 436-7875
(260) 432-9812
Mailing address
3820 NEW HARMONY RD, EVANSVILLE, IN 47720-1637
(574) 261-5135

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28185770A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300019486
IN
Enumeration date
11/18/2014
Last updated
06/17/2025
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