Individual
MRS. DANIELLE NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2946 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2940 E. BANNER GATEWAY DRIVE, SUITE 450, GILBERT, AZ 85234
(480) 256-3430
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD60095890
WA
207R00000X
Internal Medicine Physician
MD60095890
WA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
50742
AZ
207RH0000X
Hematology (Internal Medicine) Physician
8236478-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689718264
—
WA
Enumeration date
02/16/2007
Last updated
06/20/2018
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