Provider Demographics
NPI:1255642583
Name:BIRKHIMER, DANETTE RENEE (RN, MS, CNS, OCN)
Entity type:Individual
Prefix:MS
First Name:DANETTE
Middle Name:RENEE
Last Name:BIRKHIMER
Suffix:
Gender:F
Credentials:RN, MS, CNS, OCN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:300 W 10TH AVE
Mailing Address - Street 2:RM 1024 JAMES
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1280
Mailing Address - Country:US
Mailing Address - Phone:614-293-2897
Mailing Address - Fax:614-293-6037
Practice Address - Street 1:300 W 10TH AVE
Practice Address - Street 2:RM 1024 JAMES
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-293-2897
Practice Address - Fax:614-293-6037
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN203911163W00000X
OHCOA.06267-NS364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No163W00000XNursing Service ProvidersRegistered Nurse