Provider Demographics
NPI:1518167808
Name:BROWN, DANYELLE JEAN (RN)
Entity Type:Individual
Prefix:
First Name:DANYELLE
Middle Name:JEAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HERITAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12302-2612
Mailing Address - Country:US
Mailing Address - Phone:518-377-8128
Mailing Address - Fax:
Practice Address - Street 1:1 HERITAGE PKWY
Practice Address - Street 2:
Practice Address - City:GLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12302-2612
Practice Address - Country:US
Practice Address - Phone:518-377-8128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY535590-1163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics