Individual
DANIELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
1016 REGENCY DR, CHARLOTTE, NC 28211-4779
(617) 240-4708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
272054
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
124311
NC
Other
Enumeration date
11/28/2018
Last updated
09/15/2025
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