Provider Demographics
NPI:1437345857
Name:WENDEL, DANIELLE JANE (PNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JANE
Last Name:WENDEL
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:JANE
Other - Last Name:WENDLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:212 8TH AVE SE
Practice Address - Street 2:
Practice Address - City:OELWEIN
Practice Address - State:IA
Practice Address - Zip Code:50662-2448
Practice Address - Country:US
Practice Address - Phone:563-283-4135
Practice Address - Fax:563-283-4140
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC110976363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI21471Medicare PIN
IAI21471Medicare PIN