Provider Demographics
NPI:1427197979
Name:GOUSIE, DANIELLE JACQUELINE (CDOE, BSN)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:JACQUELINE
Last Name:GOUSIE
Suffix:
Gender:F
Credentials:CDOE, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 STEDMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-2444
Mailing Address - Country:US
Mailing Address - Phone:401-335-3530
Mailing Address - Fax:
Practice Address - Street 1:200 HIGH SERVICE AVE.
Practice Address - Street 2:
Practice Address - City:N. PROV.
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:401-868-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN33026163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator