Individual
DANIELLE DALYNN KEASLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1711 E EVANS AVE, PUEBLO, CO 81004-3349
(719) 543-8751
(719) 543-7496
Mailing address
1357 W CAMINO PABLO DR, PUEBLO WEST, CO 81007-4083
(719) 423-9869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0996407-NP
CO
Other
Enumeration date
03/26/2021
Last updated
10/13/2022
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