MS. DANIELLE PATRICE POULOS FNP-C NPI 1447995352

NPI Information

NPI: 1447995352
Provider Name: MS. DANIELLE PATRICE POULOS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
13011 S 104TH AVE STE 100
PALOS PARK, IL
ZIP 60464
Phone: (708) 274-3278
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MS. Danielle Patrice Poulos, FNP-C is a family nurse practitioner in Palos Park, IL with 3 years of experience. MS. Danielle Patrice Poulos, FNP-C NPI is 1447995352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13011 S 104TH AVE STE 100
PALOS PARK, IL
ZIP 60464-508
Phone: (708) 274-3278
Fax: (708) 274-3299

The NPI 1447995352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2022 and was last updated on 3/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209025382	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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