Individual
NICOLE J DANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5433 STATE ROUTE 113, BELLEVUE, OH 44811-9708
(419) 483-2403
(429) 483-8418
Mailing address
5433 STATE ROUTE 113, BELLEVUE, OH 44811-9708
(419) 483-2403
(419) 483-8418
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
34008317
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364458
ANTHEM INS
OH
01
—
11449810
CAQH
OH
05
—
2576743
—
OH
01
—
7057683
AETNA INS
OH
01
—
P00242190
RAILROAD MEDICARE
OH
Enumeration date
02/06/2006
Last updated
03/14/2016
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