Provider Demographics
NPI:1689416042
Name:PARKER, DANIELLE MARY (MPH, RN, BSN, CHES)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARY
Last Name:PARKER
Suffix:
Gender:F
Credentials:MPH, RN, BSN, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:ROTHSCHILD
Mailing Address - State:WI
Mailing Address - Zip Code:54474-1921
Mailing Address - Country:US
Mailing Address - Phone:715-846-2588
Mailing Address - Fax:
Practice Address - Street 1:609 BIRCH ST
Practice Address - Street 2:
Practice Address - City:ROTHSCHILD
Practice Address - State:WI
Practice Address - Zip Code:54474-1921
Practice Address - Country:US
Practice Address - Phone:715-846-2588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI24357930163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse