Provider Demographics
NPI:1851394357
Name:DANKER, MARYANN MEHLFELDER (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:MEHLFELDER
Last Name:DANKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 COWART RD
Mailing Address - Street 2:
Mailing Address - City:PIERSON
Mailing Address - State:FL
Mailing Address - Zip Code:32180-2121
Mailing Address - Country:US
Mailing Address - Phone:386-749-0996
Mailing Address - Fax:386-749-3041
Practice Address - Street 1:1251 COWART RD
Practice Address - Street 2:
Practice Address - City:PIERSON
Practice Address - State:FL
Practice Address - Zip Code:32180-2121
Practice Address - Country:US
Practice Address - Phone:386-749-0996
Practice Address - Fax:386-749-3041
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1610962363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health