Individual
DANIELLE NICOLE ALTARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2510 MARYLAND RD STE 160, WILLOW GROVE, PA 19090-1137
(215) 672-6622
Mailing address
2510 MARYLAND RD STE 160, WILLOW GROVE, PA 19090-1137
(215) 672-6622
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011741
PA
Other
Enumeration date
11/13/2011
Last updated
12/04/2011
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