Individual
MRS. DANIELLE MARIE HOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
388716
OH
363L00000X
Nurse Practitioner
Primary
025038
OH
Other
Enumeration date
06/11/2019
Last updated
07/18/2019
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