Individual
DANIELLE RANAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
940 W MOUNT VERNON ST STE 210, NIXA, MO 65714
(417) 724-5200
Mailing address
940 W MOUNT VERNON ST STE 210, NIXA, MO 65714-9613
(417) 724-5200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013027654
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629410766
—
MO
Enumeration date
07/17/2013
Last updated
08/20/2020
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