Individual
DANAHE OBED SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4340 W HILLSBOROUGH AVE STE 208, TAMPA, FL 33614-5522
(765) 807-6680
Mailing address
10252 HUNTERS HAVEN BLVD, RIVERVIEW, FL 33578-3377
(787) 529-8663
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19670
CALIFORNIA BOARD OF NURSING
—
01
—
A1109197
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
08/30/2013
Last updated
08/30/2013
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