Individual
DANIELLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7924
(928) 763-2273
Mailing address
12232 SW 148TH TER, MIAMI, FL 33186-7426
(786) 461-3140
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148104
FL
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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