Provider Demographics
NPI:1609861715
Name:EGAN-DANVERS, ANN PATRICIA (CRNP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:PATRICIA
Last Name:EGAN-DANVERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 HOME DEPOT DR STE D
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-8002
Mailing Address - Country:US
Mailing Address - Phone:814-432-7327
Mailing Address - Fax:814-437-6225
Practice Address - Street 1:124 HOME DEPOT DR STE D
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-8002
Practice Address - Country:US
Practice Address - Phone:814-432-7327
Practice Address - Fax:814-437-6225
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP004996M363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
114710QEPMedicare PIN