Individual
DANIELLE THEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W BOWERY ST, AKRON, OH 44308-1069
(330) 543-4488
Mailing address
1559 CORNERSTONE ST SW, HARTVILLE, OH 44632-8912
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0033016
OH
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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