Individual
DANIELLE LUNGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6112 SAINT GILES ST, RALEIGH, NC 27612-7043
(919) 893-4465
Mailing address
6112 SAINT GILES ST, RALEIGH, NC 27612-7043
(919) 893-4465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
281983
NC
163W00000X
Registered Nurse
RN-92977
HI
163W00000X
Registered Nurse
RN256419
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2018035391
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012194
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN-2626
HI
Other
Enumeration date
01/11/2017
Last updated
12/04/2024
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