Provider Demographics
NPI:1275896771
Name:WHITE, DANIELLE SHARON (RN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:SHARON
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:SHARON
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1285 PINE ST
Mailing Address - Street 2:SUITE102
Mailing Address - City:ARCADIA
Mailing Address - State:LA
Mailing Address - Zip Code:71001-3120
Mailing Address - Country:US
Mailing Address - Phone:318-263-2125
Mailing Address - Fax:318-263-2009
Practice Address - Street 1:1285 PINE ST
Practice Address - Street 2:SUITE102
Practice Address - City:ARCADIA
Practice Address - State:LA
Practice Address - Zip Code:71001-3120
Practice Address - Country:US
Practice Address - Phone:318-263-2125
Practice Address - Fax:318-263-2009
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN095133163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health