Daniel Alexander Perini, RN

Individual provider Active NPI Registered Nurse · Vandenberg Afb, CA

NPI 1548071087 · NPPES record last updated Jan 15, 2025

Key facts

NPI
1548071087
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN195266 (AZ)
Practice address
338 S Dakota Ave
Vandenberg Afb, CA 93437-6307
Phone
(480) 584-9475
NPI assigned
Jan 15, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN195266AZMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN195266 AZ Yes

Addresses

Primary practice location

338 S Dakota Ave
Vandenberg Afb, CA 93437-6307

Mailing address

338 S Dakota Ave
Vandenberg Afb, CA 93437-6307
Phone (480) 584-9475

Other providers in Vandenberg Afb, CA

All providers in Vandenberg Afb, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.