Danielle Lynne Fitz, LPN

Individual provider Active NPI Licensed Practical Nurse · Sisseton, SD

NPI 1740646892 · NPPES record last updated Jan 5, 2016

Key facts

NPI
1740646892
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
P011829 (SD)
Practice address
507 Old Agency Dr
Unit 137a
Sisseton, SD 57262-7226
Phone
(605) 698-7606
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MN-68919-1MNMDLicensed Practical Nurse
P011829SDMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X MN-68919-1 MN
Licensed Practical Nurse 164W00000X P011829 SD Yes

Addresses

Primary practice location

507 Old Agency Dr
Unit 137a
Sisseton, SD 57262-7226

Mailing address

507 Old Agency Dr
Unit 137a
Sisseton, SD 57262-7226
Phone (605) 698-7606

Other names

  • Mrs. Danielle Lynne Max Other name

Other providers in Sisseton, SD

All providers in Sisseton, SD · Licensed Practical Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.