Individual
MS. DANIELLE LYNNE FITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
507 OLD AGENCY DR, UNIT 137A, SISSETON, SD 57262-7226
(605) 698-7606
Mailing address
507 OLD AGENCY DR, UNIT 137A, SISSETON, SD 57262-7226
(605) 698-7606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
MN-68919-1
MN
164W00000X
Licensed Practical Nurse
Primary
P011829
SD
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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