Individual
BETHANY ANN DANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 DR CARTER BLVD, BUNNELL, FL 32110-6212
(386) 313-7084
Mailing address
2 LUMBERJACK TRL, PALM COAST, FL 32137-9325
(443) 517-7628
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11032244
FL
363LA2100X
Acute Care Nurse Practitioner
R108242
MD
363LF0000X
Family Nurse Practitioner
Primary
11032244
FL
363LF0000X
Family Nurse Practitioner
R108242
MD
Other
Enumeration date
03/14/2012
Last updated
11/05/2024
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