Provider Demographics
NPI:1295469831
Name:IVERSON-CHAPA, DANIELLE APRIL NICOLE (MA)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:APRIL NICOLE
Last Name:IVERSON-CHAPA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 O'HARA STREET
Mailing Address - Street 2:BELLEFIELD TOWERS 8TH FLOOR, ROOM 828
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2561
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3811 O'HARA STREET
Practice Address - Street 2:BELLEFIELD TOWERS 8TH FLOOR, ROOM 828
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2561
Practice Address - Country:US
Practice Address - Phone:210-663-5779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program