Doctor Name: | MRS. DANIELLE JULIA DEUTSCHENDORF |
NPI Number: | 1629206370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 67988 |
Business Practice Address: | 377 Mdg 2050a Second Street Se Kirtland Afb, NM - 871175522 |
Business Phone Number: | 5058463379 |
Business Fax Number: | |
Mailing Address: | 52 Mdg/sgof, Unit 3865 APO |
State: | AE |
Postal Code: | 091263865 |
Phone Number: | 496565618169 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 67988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |