Doctor Name: | DANIELLE LITA CLOUTIER |
NPI Number: | 1093717209 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 102766 |
Business Practice Address: | 80 Healthcare Dr Ste 203 Sylva, NC - 287795146 |
Business Phone Number: | 8285865531 |
Business Fax Number: | 8285865759 |
Mailing Address: | 80 Healthcare Dr, Ste 203 SYLVA |
State: | NC |
Postal Code: | 287795146 |
Phone Number: | 8285865531 |
Fax Number: | 8285865759 |
NPI Enumeration Date: | 06/01/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 102766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |