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Individual

DANIELLE KATHLYN SEBBENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1784
(602) 933-1785
Mailing address
1919 E THOMAS RD, BLDG 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8030
(602) 512-8161

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
SP006403D
PA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP4233
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
668932
AZ
Enumeration date
11/16/2006
Last updated
01/11/2013
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