Provider Demographics
NPI:1073927695
Name:GINTER, DANIELLE K (BSN, RN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:K
Last Name:GINTER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:K
Other - Last Name:FAULKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN, MSN, APRN
Mailing Address - Street 1:4464 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-5464
Mailing Address - Country:US
Mailing Address - Phone:513-649-8008
Mailing Address - Fax:513-649-8004
Practice Address - Street 1:4464 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005-5464
Practice Address - Country:US
Practice Address - Phone:513-649-8008
Practice Address - Fax:513-649-8004
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.395890163WP0808X
OHAPRN.CNP.0029025363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH01-0693OtherCARF CERTIFICATION
OHH130910OtherMEDICARE GROUP PTAN
OH0074946OtherOHIO DEPARTMENT MENTAL HEALTH (GROUP)
OH0074861OtherOHIO DEPARTMENT OF ALCOHOL & DRUG ADDICTION SERVICES (GROUP)