Individual
MRS. DANIELLE LANE DOEDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
260 ELM ST, CUMMING, GA 30040-2467
(770) 887-1668
(770) 887-3462
Mailing address
260 ELM ST, CUMMING, GA 30040-2467
(770) 887-1668
(770) 887-3462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203965
GA
Other
Enumeration date
07/15/2013
Last updated
09/29/2014
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