Individual provider · Type 1 NPI

Danielle Christine Talavera

Pediatric Nurse Practitioner · Waterford, MI

NPI number 1417461807 Active

Practice location

2561 Elizabeth Lake Rd
Waterford, MI 48328-3313

Mailing address

43105 Providence Ln
Canton, MI 48188-5282

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704291021 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417461807

Danielle Christine Talavera's National Provider Identifier is 1417461807, issued on Nov 22, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Waterford, MI. The record was last updated on Nov 28, 2017.