Individual
MS. DANIELLE CHRISTINE GAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
600 CHARLES ELLIS DR APT 108, NEWTOWN SQUARE, PA 19073-1326
(508) 614-0070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR21378900
NJ
163W00000X
Registered Nurse
RN688449
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP023787
PA
Other
Enumeration date
02/04/2021
Last updated
09/02/2021
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