Provider Demographics
NPI:1023548997
Name:ATWOOD, DANIELLE NICHOLE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:NICHOLE
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 CANAL STREET
Mailing Address - Street 2:ATTN: SURGERY SERVICES 112
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119
Mailing Address - Country:US
Mailing Address - Phone:504-507-5009
Mailing Address - Fax:
Practice Address - Street 1:2400 CANAL STREET
Practice Address - Street 2:ATTN: SURGERY SERVICES 112
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119
Practice Address - Country:US
Practice Address - Phone:501-690-9069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA336031208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery