Provider Demographics
NPI:1093347312
Name:WREN, DANIELLE
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:WREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:WREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DANIELLE WREN
Mailing Address - Street 1:PO BOX 240965
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-9024
Mailing Address - Country:US
Mailing Address - Phone:414-376-8229
Mailing Address - Fax:
Practice Address - Street 1:3611 N TEUTONIA AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-2331
Practice Address - Country:US
Practice Address - Phone:414-376-8229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000000000OtherNO MEDICARE NUMBER