Individual
MRS. NIKKOLE ANNE DANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PL, DIV PED ENDOCRINOLOGY AND DIABETES, SAINT LOUIS, MO 63110-1002
(314) 454-6051
(314) 454-6225
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6051
(314) 454-6225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016038177
MO
363LP0200X
Pediatric Nurse Practitioner
2016038177
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420039644
—
MO
Enumeration date
01/11/2017
Last updated
04/17/2025
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