Individual
DANIELLE NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 W ALAMEDA AVE STE 212, BURBANK, CA 91505
(818) 847-6990
(818) 847-6938
Mailing address
2601 W ALAMEDA AVE STE 212, BURBANK, CA 91505-4814
(818) 847-6990
(818) 847-6938
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A146469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370334001
—
TX
01
—
571580YNDP
MEDICARE - NOVITAS SOLUTIONS
TX
Enumeration date
06/07/2011
Last updated
05/25/2018
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