DANIELLE MCKENZIE COMMERFORD (NPI# 1649576703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649576703 |
| Entity Type | Individual |
| Full Name | DANIELLE MCKENZIE COMMERFORD |
| Credential | APRN CNP |
| Practice Address |
Centracare Urgency Center 1900 Centracare Circle #500 St Cloud MN 56303-5000 |
| Mailing Address |
Centracare Urgency Center 1900 Centracare Circle #500 St. Cloud MN 56303-5000 |
| Practice Telephone | 3202295099 |
| Practice Fax Number | 3202295022 |
| Mailing Telephone | 3202295099 |
| Mailing Fax Number | 3202295022 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4781 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0992493 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
CENTRACARE URGENCY CENTER 1900 CENTRACARE CIRCLE #500 |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| 1881056679 | Nicole Marie Zenk | Nurse Practitioner | 3333 West Division Street #218, Centracare Clinic Midtown, St Cloud, MN 56301-4557 | 2016-03-22 |
| 1326302795 | Kristina M Gross | Nurse Practitioner | 1900 Centra Care Cir, #1300, Centracare Clinic Women & Children, St Cloud, MN 56303-5000 | 2012-06-29 |
| 1568798700 | Rebecca L. Wertish | Nurse Practitioner | 1900 Centracare Circle, #2300, Centracare Clinic Women's & Childrens/ob0gyn, St Cloud, MN 56303-5000 | 2009-10-22 |
| 1417327651 | Larae A. Lymer | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-09-30 |
| 1154799781 | Sarah Catherine Babst | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-09-14 |
| 1376933366 | Milissa Sue Mcduffee | Nurse Practitioner | 1200 Sixth Ave N, Centracare Clinic River Campus/heart & Vascular Center, St Cloud, MN 56303-2735 | 2015-01-28 |
| 1568743524 | Stephanie Jean Mcgreevy | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2011-09-06 |
| 1093025009 | Chelsey Lee Olander | Nurse Practitioner | 1200 Sixth Ave. N, Centracare Clinic, St Cloud, MN 56303-2735 | 2010-10-12 |
| 1649415811 | Valery A. Hoover | Nurse Practitioner | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2008-12-02 |
| Find all providers in ST CLOUD | ||||
Please comment or provide details below to improve the information on DANIELLE MCKENZIE COMMERFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.