Individual
MS. DANIELLE LOUISE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4211 HEATHER RD, PORTSMOUTH, VA 23703-1621
(646) 713-4016
Mailing address
4211 HEATHER RD, PORTSMOUTH, VA 23703-1621
(646) 713-4016
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
0001186022
VA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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