Individual
MRS. DANIELLE LUCILLE VASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3999 DUTCHMANS LN, SUITE 7B, LOUISVILLE, KY 40207-4729
(502) 896-4711
(502) 896-4791
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008788
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000882096
ANTHEM-NSS
KY
01
—
163554
SIHO-NSS
KY
05
—
3000010155
—
IN
01
—
50073279
PASSPORT-NSS
KY
05
—
7100314260
—
KY
Enumeration date
07/22/2014
Last updated
09/21/2022
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