Provider Demographics
NPI:1437558509
Name:ORENDORFF, DANNA DAWN (ARNP)
Entity Type:Individual
Prefix:
First Name:DANNA
Middle Name:DAWN
Last Name:ORENDORFF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DANNA
Other - Middle Name:DAWN
Other - Last Name:BLISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:409 E REDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-3018
Mailing Address - Country:US
Mailing Address - Phone:918-790-3309
Mailing Address - Fax:918-775-0587
Practice Address - Street 1:409 E REDWOOD AVE
Practice Address - Street 2:
Practice Address - City:SALLISAW
Practice Address - State:OK
Practice Address - Zip Code:74955-3018
Practice Address - Country:US
Practice Address - Phone:918-790-3309
Practice Address - Fax:918-775-0587
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKRN 78825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily