Provider Demographics
NPI:1053859983
Name:SANDERS, DANIELLE MARIE (APN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:SANDERS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10035 W DARTMOUTH AVE APT 207
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5670
Mailing Address - Country:US
Mailing Address - Phone:303-725-8666
Mailing Address - Fax:
Practice Address - Street 1:6169 S BALSAM WAY STE 220
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3063
Practice Address - Country:US
Practice Address - Phone:303-933-8526
Practice Address - Fax:303-933-8964
Is Sole Proprietor?:No
Enumeration Date:2017-02-12
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993416-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily