Provider Demographics
NPI:1053035394
Name:ABRUDAN-DANALACHE, ANA (FNP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:ABRUDAN-DANALACHE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 E WALNUT LN
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:MO
Mailing Address - Zip Code:65781-8384
Mailing Address - Country:US
Mailing Address - Phone:417-742-2300
Mailing Address - Fax:
Practice Address - Street 1:403 E WALNUT LN
Practice Address - Street 2:
Practice Address - City:WILLARD
Practice Address - State:MO
Practice Address - Zip Code:65781-8384
Practice Address - Country:US
Practice Address - Phone:417-742-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022037803363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily