Individual
MRS. DANIELLE HOWA PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
319637-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225257819
—
UT
Enumeration date
04/24/2007
Last updated
01/12/2016
Update your record
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