Provider Demographics
NPI:1114708864
Name:ROBB, DANALEE H A (AGPCNP)
Entity Type:Individual
Prefix:DR
First Name:DANALEE
Middle Name:H A
Last Name:ROBB
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 CYPRESS POINT CIR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2302
Mailing Address - Country:US
Mailing Address - Phone:301-661-7268
Mailing Address - Fax:301-324-4898
Practice Address - Street 1:804 CYPRESS POINT CIR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2302
Practice Address - Country:US
Practice Address - Phone:301-661-7268
Practice Address - Fax:301-324-4898
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR125256363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty