Individual
MS. DANNEILLE C TRUJILLO-HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRNBC
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
209004760
IL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
041223102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04122312
LICENSE NUMBER
IL
05
—
370966854011
—
IL
05
—
370966854023
—
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
11/02/2005
Last updated
09/13/2012
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