Provider Demographics
NPI:1124402342
Name:POCIASK, DANIELLE COLLETTE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:COLLETTE
Last Name:POCIASK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:COLLETTE
Other - Last Name:TRAGESER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2501 W. 22ND ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105
Mailing Address - Country:US
Mailing Address - Phone:605-333-6859
Mailing Address - Fax:605-373-4120
Practice Address - Street 1:2501 W. 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-333-6859
Practice Address - Fax:605-373-4120
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant