| Doctor Name: | MS. DANIELLE LYNNE FITZ |
| NPI Number: | 1740646892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPN |
| License Number: | MN-68919-1 |
| Business Practice Address: | 507 Old Agency Dr Unit 137a Sisseton, SD - 572627226 |
| Business Phone Number: | 6056987606 |
| Business Fax Number: | |
| Mailing Address: | 507 Old Agency Dr, Unit 137a SISSETON |
| State: | SD |
| Postal Code: | 572627226 |
| Phone Number: | 6056987606 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2016 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 164W00000X |
| License Number: | MN-68919-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Licensed Practical Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |