Provider Demographics
NPI:1467032664
Name:ATCHESON, DANIELLE (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:ATCHESON
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 LARIMER ST APT 9
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1611
Mailing Address - Country:US
Mailing Address - Phone:303-579-3216
Mailing Address - Fax:
Practice Address - Street 1:1512 LARIMER ST APT 9
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1611
Practice Address - Country:US
Practice Address - Phone:303-579-3216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO545963783