Doctor Name: | DANIELLE SAWDON |
NPI Number: | 1730542564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, NP-BC |
License Number: | 4704261206 |
Business Practice Address: | 287 W Walled Lake Dr Walled Lake, MI - 483903458 |
Business Phone Number: | 2485636041 |
Business Fax Number: | |
Mailing Address: | 287 W Walled Lake Dr, WALLED LAKE |
State: | MI |
Postal Code: | 483903458 |
Phone Number: | 2485636041 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2016 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 4704261206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |