| Danielle Todd, FNP | |
|
6071 Far Hills Ave, Centerville, OH 45459-1923 | |
| (937) 208-6887 | |
| Not Available |
| Full Name | Danielle Todd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 6071 Far Hills Ave, Centerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891419685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0032341 (Ohio) | Primary |
| Entity Name | New Life Ketamine Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407406697 PECOS PAC ID: 5698268266 Enrollment ID: O20251202003144 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Todd, FNP 1348 Ward Rd, Wilmington, OH 45177-6914 Ph: (937) 478-2281 | Danielle Todd, FNP 6071 Far Hills Ave, Centerville, OH 45459-1923 Ph: (937) 208-6887 |
Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070 |
Jennifer M Wagner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-208-8394 Fax: 937-641-2780 |
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622 |
Heather Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400 |
Kevin Carl Baker, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr Ste 500, Centerville, OH 45459 Phone: 937-425-0003 |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 |
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr Ste 210, Centerville, OH 45459 Phone: 937-276-8320 Fax: 937-276-8325 |