Individual
MS. DANIELLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1305 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4600
(704) 847-8508
Mailing address
1305 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4600
(704) 281-6985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5017289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417532748
—
NC
Enumeration date
03/17/2021
Last updated
12/05/2022
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