Doctor Name: | DR. DANIEL JACOB LOVE |
NPI Number: | 1043691363 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DNP, APRN, FNP |
License Number: | 53-76841 |
Business Practice Address: | 7405 Renner Rd Shawnee, KS - 662179414 |
Business Phone Number: | 9135888450 |
Business Fax Number: | |
Mailing Address: | 7405 Renner Rd, SHAWNEE |
State: | KS |
Postal Code: | 662179414 |
Phone Number: | 9135888450 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 53-76841 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |