Basic Information
Provider Information
NPI: 1306515739
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARBER
FirstName: DANIELLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8909 W DRAGONFLY DR
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571073043
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2501 W 22ND ST
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571051305
CountryCode: US
TelephoneNumber: 6053363230
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/09/2021
LastUpdateDate: 09/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP2201XR041376SDN Nursing Service ProvidersRegistered NurseAmbulatory Care
363LP2300XCP002138SDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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