Individual
DR. DANIELLE MARIE BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-00454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCU301A
MEDICARE PTAN
NC
Enumeration date
03/26/2013
Last updated
05/06/2021
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