Individual
DANIELLE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 CHARLES HARDY PKWY STE 223, DALLAS, GA 30157-9470
(229) 800-9695
Mailing address
151 N WASHINGTON ST # 2S, SLEEPY HOLLOW, NY 10591-3117
(914) 329-3902
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F383037
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN305186
GA
Other
Enumeration date
08/04/2020
Last updated
11/11/2024
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