| Organization Name: | DUNAMIS AUXANO LLC |
| NPI Number: | 1548690233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIELE P MARSH (CERTIFIED NURSE PRACTITIONER) |
| Mailing Address: | 121 W Main St Loudonville |
| State: | OH US |
| Postal Code: | 448421247 |
| Phone Number: | 4199940212 |
| Fax Number: | 4199940215 |
| NPI Enumeration Date: | 11/18/2013 |
| NPI Last Update Date: | 11/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |