Provider Demographics
NPI:1679341838
Name:BRIXEY, DANIELLE EVAN (RN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:EVAN
Last Name:BRIXEY
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:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:ELK
Mailing Address - State:WA
Mailing Address - Zip Code:99009-0176
Mailing Address - Country:US
Mailing Address - Phone:509-991-4569
Mailing Address - Fax:509-292-8695
Practice Address - Street 1:13513 E. FRIDEGER ROAD
Practice Address - Street 2:
Practice Address - City:ELK
Practice Address - State:WA
Practice Address - Zip Code:99009
Practice Address - Country:US
Practice Address - Phone:509-991-4569
Practice Address - Fax:509-292-8695
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00097534163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse