Kim Dorothy Dannenberg, NP
Nurse Practitioner in Westlake Village, CA. Individual provider (NPI-1).
NPI number1982172201
StatusActive
Last updated in NPPESNov 5, 2018
Details
- NPI
- 1982172201
- Entity type
- Individual (NPI-1)
- Name
- Kim Dorothy Dannenberg
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2018
- Last updated
- Nov 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 10813 | CA | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 10813 | CA | |
| 363LG0600X | Nurse Practitioner, Gerontology | 10813 | CA |
Practice location
1049 Brookview AveWestlake Village, CA 91361-1624
Phone 805-490-3232
Mailing address
1049 Brookview AveWestlake Village, CA 91361-1624
Phone 805-490-3232
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