Individual
DANIELLE OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087-3306
(470) 444-3134
(470) 276-4370
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN293810
GA
363LP2300X
Primary Care Nurse Practitioner
RN293810
GA
Other
Enumeration date
07/20/2023
Last updated
07/27/2023
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