Brodersen, Danielle N
Brodersen, Danielle N is an individual health care provider with primary practice located at 1111 6Th Ave , Des Moines IA 50314-2613. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Brodersen, Danielle N can be contacted via phone (515) 247-4240.Contact Information
Primary practice address
1111 6Th Ave
Des Moines IA 50314-2613
Phone: (515) 247-4240
Fax: (515) 247-4239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | L117212 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | L117212 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | L117212 | Iowa |
Profile Details
| NPI number | 1407250830 |
|---|---|
| LBN Legal business name | Brodersen, Danielle N |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2014 |
| Last updated | Nov 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407250830 | NPPES |
| Iowa | MEDICAID | 1407250830 | |
| Iowa | Other | P01395628 |
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