Individual
DANIELLE L SHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9423 HOLY CROSS LN STE 111, BREESE, IL 62230-3510
(618) 526-8850
Mailing address
9423 HOLY CROSS LN STE 111, BREESE, IL 62230-3510
(618) 526-8850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.026522
OH
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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