Desantis, Danielle Marie

Desantis, Danielle Marie is an individual health care provider with primary practice located at 789 Central Ave , Dover NH 03820-2526. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Desantis, Danielle Marie can be contacted via phone (603) 660-2578.

Contact Information

Primary practice address
789 Central Ave Dover NH 03820-2526
Phone: (603) 660-2578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 3658 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1440 New Hampshire

Profile Details

NPI number 1073988440
LBN Legal business name Desantis, Danielle Marie
Credentials PA-C, RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Apr 4th, 2022 - about 3 years 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 1073988440 NPPES
New Hampshire MEDICAID 3116428

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