Individual
DANIELLE MARY CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, M.P.H.
Contact information
Practice address
179 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301
(570) 421-3401
(570) 421-0560
Mailing address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 420-4970
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
666665
PA
163W00000X
Registered Nurse
6759731
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
SP014821
PA
Other
Enumeration date
03/09/2014
Last updated
08/01/2018
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