Individual
DANIELLE ALYSE GARRY
Active
Individual
DANIELLE ALYSE GARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041484734
IL
163W00000X
Registered Nurse
2018002466
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
1070390
TX
Other
Enumeration date
04/17/2020
Last updated
06/24/2022
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