Provider Demographics
NPI:1457680696
Name:BRANT, DANIELLE ERIN (CRNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ERIN
Last Name:BRANT
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 1:10 HONEY LOCUST CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2501
Mailing Address - Country:US
Mailing Address - Phone:484-368-3648
Mailing Address - Fax:
Practice Address - Street 1:35TH AND CIVIC CENTER BLVD
Practice Address - Street 2:3 WEST CSSH - REHAB
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010585363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics