DANIELLE R LITTLE

PROVIDENCE MEDICAL GROUP

Dr DANIELLE R LITTLE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.

Contact

PROVIDENCE MEDICAL GROUP

49 E CTR ST
FARMERSVILLE
OH
453251110

Tel: 9376962858

DANIELLE R LITTLE Information

Npi 1487956264
Pac Id 1052597572
Professional Enrollment Id I20110518000490
Last Name LITTLE
First Name DANIELLE
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE MEDICAL GROUP
Group Practice Pac Id 2860386349
Number Of Group Practice Members 36
Line 1 Street Address 49 E CTR ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FARMERSVILLE
State OH
Zip Code 453251110
Phone Number 9376962858
Hospital Affiliation Ccn 1 360239
Hospital Affiliation Lbn 1 KETTERING MEDICAL CENTER - SYCAMORE
Hospital Affiliation Ccn 2 360133
Hospital Affiliation Lbn 2 GRANDVIEW AND SOUTHVIEW HOSPITALS
Hospital Affiliation Ccn 3 360051
Hospital Affiliation Lbn 3 MIAMI VALLEY HOSPITAL
Hospital Affiliation Ccn 4 360079
Hospital Affiliation Lbn 4 KETTERING MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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