Doctor Name: | DANIELLE MAE MCSHARRY |
NPI Number: | 1235534454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 6032-33 |
Business Practice Address: | 13025 8th St Osseo, WI - 547587634 |
Business Phone Number: | 7155973121 |
Business Fax Number: | |
Mailing Address: | 733 W Clairemont Ave, EAU CLAIRE |
State: | WI |
Postal Code: | 547016101 |
Phone Number: | 7158385222 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6032-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |