Provider Demographics
NPI:1578950846
Name:STENGER, DANIELLE ELIZABETH (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:ELIZABETH
Last Name:STENGER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:ELIZABETH
Other - Last Name:RETALLICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1102 ST. MARYS ROAD
Mailing Address - Street 2:ROOM 1204
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-4139
Mailing Address - Country:US
Mailing Address - Phone:785-762-3416
Mailing Address - Fax:785-762-3516
Practice Address - Street 1:1102 ST. MARYS ROAD
Practice Address - Street 2:ROOM 1204
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-4139
Practice Address - Country:US
Practice Address - Phone:785-762-3416
Practice Address - Fax:785-762-3516
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS557383367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered