Provider Demographics
NPI:1467846386
Name:COMBS, DANIELLE RACHAEL (CNM)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:RACHAEL
Last Name:COMBS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4507
Mailing Address - Country:US
Mailing Address - Phone:845-356-3545
Mailing Address - Fax:845-356-3445
Practice Address - Street 1:16 PARK AVE
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-4507
Practice Address - Country:US
Practice Address - Phone:845-356-3545
Practice Address - Fax:845-356-3445
Is Sole Proprietor?:No
Enumeration Date:2015-03-28
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000799-1367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife