Individual
DANIELLE C LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28231339A
IN
363L00000X
Nurse Practitioner
Primary
71009304A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031021
—
IN
Enumeration date
05/10/2019
Last updated
01/22/2021
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