Provider Demographics
NPI:1508369547
Name:MARTIN, DANIELLE CHRISTINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:CHRISTINE
Other - Last Name:WOZNIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:165 E BARRON RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-8354
Mailing Address - Country:US
Mailing Address - Phone:248-982-6683
Mailing Address - Fax:
Practice Address - Street 1:3413 WOODS EDGE
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-5901
Practice Address - Country:US
Practice Address - Phone:517-349-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704279516NSA17584363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care