Provider Demographics
NPI:1689080731
Name:OAS, DANIELLE LEE (DNP)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:LEE
Last Name:OAS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:LEE
Other - Last Name:KAST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:890 W ELLIOT RD
Mailing Address - Street 2:SUITE 192
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5102
Mailing Address - Country:US
Mailing Address - Phone:480-545-2787
Mailing Address - Fax:480-545-1434
Practice Address - Street 1:890 W ELLIOT RD
Practice Address - Street 2:SUITE 192
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5102
Practice Address - Country:US
Practice Address - Phone:480-545-2787
Practice Address - Fax:480-545-1434
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5664363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily