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Individual

MARY T DANHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
501 WALNUT ST, OWENSBORO, KY 42301-2170
(270) 926-6575
Mailing address
501 WALNUT ST, OWENSBORO, KY 42301-2170
(270) 926-6575

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002339
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7800729100
KY
Enumeration date
05/09/2008
Last updated
01/10/2011
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