Provider Demographics
NPI:1134318124
Name:BIELECKI, DANIELLE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:BIELECKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MONUMENT RD
Mailing Address - Street 2:STE 1100
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5024
Mailing Address - Country:US
Mailing Address - Phone:717-851-6454
Mailing Address - Fax:717-851-1665
Practice Address - Street 1:201 E UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2829
Practice Address - Country:US
Practice Address - Phone:410-554-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009573363LA2100X
MDR211931363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2009553OtherHIGHMARK BS FREEDOM BLUE
PA1572753OtherGATEWAY-WMG
PA50074377OtherCAPITAL BLUE CROSS-WMG
919158-01OtherCAREFIRST MD BCBS
PA210213OtherJOHNS HOPKINS
PA1572753OtherGATEWAY-WMG
PA50074377OtherCAPITAL BLUE CROSS-WMG