Individual
MRS. DANIELLA CHRISTINE GANAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
794 HOLLY ST, NEW LLANO, LA 71461-4526
(337) 424-9295
Mailing address
794 HOLLY ST, NEW LLANO, LA 71461-4526
(337) 424-9295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220695
LA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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