Provider Demographics
NPI:1154575165
Name:DANNER, DOUGLAS JAMES (RN CNIM)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:JAMES
Last Name:DANNER
Suffix:
Gender:M
Credentials:RN CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 674
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NC
Mailing Address - Zip Code:28760-0674
Mailing Address - Country:US
Mailing Address - Phone:828-231-9125
Mailing Address - Fax:828-707-9416
Practice Address - Street 1:300 WHITE PINE DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-0908
Practice Address - Country:US
Practice Address - Phone:828-231-9125
Practice Address - Fax:828-231-9125
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1227246ZE0600X
NC064966163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No163W00000XNursing Service ProvidersRegistered Nurse