| Doctor Name: | MISS DANIELLE LYNN LUDWIG |
| NPI Number: | 1508283458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP-C |
| License Number: | AP5372 |
| Business Practice Address: | 460 W Finnie Flat Rd Camp Verde, AZ - 863227266 |
| Business Phone Number: | 9286395555 |
| Business Fax Number: | 9286395554 |
| Mailing Address: | 1200 N Beaver St, Payer Credentialing FLAGSTAFF |
| State: | AZ |
| Postal Code: | 860013118 |
| Phone Number: | 9287732559 |
| Fax Number: | 9282136292 |
| NPI Enumeration Date: | 03/27/2014 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP5372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |