| Doctor Name: | MRS. DANIELLE HOWA PENDERGRASS |
| NPI Number: | 1225257819 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, APRN, WHNP-BC |
| License Number: | 319637-4405 |
| Business Practice Address: | 77 S 600 E Suite B Price, UT - 845013174 |
| Business Phone Number: | 4356370313 |
| Business Fax Number: | 4356370317 |
| Mailing Address: | 77 S 600 E, Suite B PRICE |
| State: | UT |
| Postal Code: | 845013174 |
| Phone Number: | 4356370313 |
| Fax Number: | 4356370317 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 01/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 319637-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |