Provider Demographics
NPI:1093561011
Name:DANINO, EVA (HADE14920)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:DANINO
Suffix:
Gender:F
Credentials:HADE14920
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4878 E KENSINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-9222
Mailing Address - Country:US
Mailing Address - Phone:832-226-6590
Mailing Address - Fax:
Practice Address - Street 1:3499 CANYON DE FLORES
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-5336
Practice Address - Country:US
Practice Address - Phone:520-378-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHADE14920237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist