Individual
DANIELLE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 364-0844
Mailing address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 343-3311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.18985-NP
OH
Other
Enumeration date
04/05/2016
Last updated
12/15/2016
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