Provider Demographics
NPI:1306721535
Name:HOTUJAC, DANIELLE GEORGIA (RN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:GEORGIA
Last Name:HOTUJAC
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15809 W 81ST ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1840
Mailing Address - Country:US
Mailing Address - Phone:913-626-9404
Mailing Address - Fax:
Practice Address - Street 1:15809 W 81ST ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1840
Practice Address - Country:US
Practice Address - Phone:913-626-9404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS151956163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics