| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIELLE FEDOR | 1487263570 | 2020-07-24 |
Danielle Fedor [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Danielle Fedor is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487263570. Registration indicates Danielle Fedor is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 3678999695 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Danielle Fedor |
| Practice Office Address | 625 N PLAZA DR APACHE JUNCTION, AZ US |
| Practice Office Telephone | 4804745600 |
| Mailing Address | 625 N PLAZA DR APACHE JUNCTION, AZ 851205501 US |
| Business Telephone | 4804745600 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 243481
AZ |