Danielle Pagano, APN
Nurse Practitioner, Family in Ottawa, IL. Individual provider (NPI-1).
NPI number1760891766
StatusActive
Last updated in NPPESJul 6, 2018
Details
- NPI
- 1760891766
- Entity type
- Individual (NPI-1)
- Name
- Danielle Pagano
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2014
- Last updated
- Jul 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209011743 | IL | Yes |
| 163W00000X | Registered Nurse | 041.393801 | IL |
Practice location
1614 E Norris DrOttawa, IL 61350
Phone 815-433-1010 · Fax 815-433-0067
Mailing address
1614 E Norris DrOttawa, IL 61350-3681
Phone 815-433-1010 · Fax 815-433-0067
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