Provider Demographics
NPI:1639485451
Name:DENENNY, DANIELLE MICHELLE (SCB)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MICHELLE
Last Name:DENENNY
Suffix:
Gender:F
Credentials:SCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E WEST RD
Mailing Address - Street 2:ROOM 4021
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96848-1601
Mailing Address - Country:US
Mailing Address - Phone:808-956-9559
Mailing Address - Fax:
Practice Address - Street 1:1601 E WEST RD
Practice Address - Street 2:ROOM 4021
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96848-1601
Practice Address - Country:US
Practice Address - Phone:808-956-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program