Individual
DANIELLE MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Mailing address
1375 N MAIN ST, LAPEER, MI 48446-1350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704330496
MI
363LF0000X
Family Nurse Practitioner
Primary
4704330496
MI
Other
Enumeration date
11/01/2022
Last updated
11/07/2022
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