Individual
DANIELLE ELISE FEDDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1923 W GLEN PARK AVE, GRIFFITH, IN 46319-3703
(219) 922-2535
Mailing address
1923 W GLEN PARK AVE, GRIFFITH, IN 46319-3703
(219) 922-2535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28237872A
IN
363L00000X
Nurse Practitioner
Primary
71015875A
IN
Other
Enumeration date
09/23/2024
Last updated
10/29/2024
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