Individual
MRS. DANIELLE ELIZABETH PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
2444 33RD AVE, ROCK ISLAND, IL 61201-6308
(309) 235-6350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041447316
RN
IL
01
—
144820
RN
IA
01
—
2021038972
AMERICAN NURSES CREDENTIALING CENTER
—
01
—
209023666
ADVANCED PRACTICE REGISTERED NURSE
IL
01
—
A165409
CERTIFIED FAMILY NURSE PRACTITIONER
IA
Enumeration date
09/02/2021
Last updated
09/02/2021
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