Provider Demographics
NPI:1033984117
Name:LOWE, DANIELLE ALYSSE (CNM)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ALYSSE
Last Name:LOWE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:ALYSSE
Other - Last Name:CARMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:717 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-5539
Mailing Address - Country:US
Mailing Address - Phone:717-824-0132
Mailing Address - Fax:
Practice Address - Street 1:1880 KENNETH RD STE 3
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-6344
Practice Address - Country:US
Practice Address - Phone:717-779-2612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN638818163W00000X
PAMW010767367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse