DANIELLE T PUTROW


Address: 1600 W Chandler Blvd, Suite 250, Chandler, AZ 85224-6153
Phone: 4807754240

DANIELLE T PUTROW (NPI# 1184635005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184635005
Entity Type Individual
Full Name DANIELLE T PUTROW
Other Name DANIELLE T JURY
Credential NP
Practice Address 1600 W Chandler Blvd
Suite 250
Chandler
AZ 85224-6153
Practice Telephone 4807754240
Practice Fax Number 4807758866
Mailing Telephone 4807754240
Mailing Fax Number 4807758866
Enumeration Date 2006-08-10
Last Update Date 2008-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN097910 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1600 W CHANDLER BLVD
SUITE 250
City CHANDLER
State AZ
Zip Code 85224-6153

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1033280359 L C Grissom and Associates Pllc Nurse Practitioner 1600 W Chandler Blvd, Ste. 250, Chandler, AZ 85224-6153 2006-11-10
1952483976 Michael G. Smith Dentist 1600 W Chandler Blvd, #100, Chandler, AZ 85224-6153 2006-10-19
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NPI Name Taxonomy Address Enumeration
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1275061350 Whitney Carter Behavioral Analyst 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 2017-06-01
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1356724728 Chitra Mathew Nurse Practitioner 70 N Mcclintock Dr Ste 4, Chandler, AZ 85226-3711 2015-07-03
1104234574 Lydia Corazon Samin Alvarez Nurse Practitioner 4742 W Oakland St, Chandler, AZ 85226-2926 2014-07-29
1982963658 Shirley Ann Sheroian Nurse Practitioner 3873 W Park Ave, Chandler, AZ 85226-1390 2012-05-15
1114199759 Stephen Earl Pray IIi Nurse Practitioner 3283 E Oriole Way, Chandler, AZ 85286-5669 2008-03-24
1609930932 Life Journey Psychiatric Pllc Nurse Practitioner 3655 E. Bluebird Place, Chandler, AZ 85249 2006-12-21
1184696569 Grace R Keckeisen Nurse Practitioner 2705 S Alma School Rd Ste 2, Chandler, AZ 85286-4400 2006-02-01
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Competitor

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City CHANDLER
Zip Code 85224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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