Clark, Danielle Michelle

Clark, Danielle Michelle is an individual health care provider with primary practice located at 3911 Ambrosia St Ste 201 , Castle Rock CO 80109-3888. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Clark, Danielle Michelle can be contacted via phone (303) 788-8888.

Contact Information

Primary practice address
3911 Ambrosia St Ste 201 Castle Rock CO 80109-3888
Phone: (303) 788-8888
Fax: (844) 347-5158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 57187 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C-APN.0101848-C-CRNA Colorado

Profile Details

NPI number 1821352485
LBN Legal business name Clark, Danielle Michelle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2012
Last updated May 30th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821352485 NPPES
West Virginia Other 1821352485 CIGNA
West Virginia Other P01107347 CIGNA
West Virginia Other 1821352485 CIGNA
West Virginia Other 9333201 CIGNA
West Virginia Other 1821352485 CIGNA
West Virginia Other 1821352485 CIGNA
West Virginia Other 1821352485 CIGNA
West Virginia MEDICAID 3810023591 CIGNA
West Virginia Other 270052997002 CIGNA

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