Individual
MRS. DANIELLE NICOLE VAN KOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 E 5350 S STE C, OGDEN, UT 84405-5417
(801) 479-2244
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9246493-4405
UT
Other
Enumeration date
10/10/2019
Last updated
01/20/2022
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