Provider Demographics
NPI:1659035335
Name:DURING, DANIELLE MARIE (BSN RN CMSRN)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARIE
Last Name:DURING
Suffix:
Gender:F
Credentials:BSN RN CMSRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PULASKI ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1797
Mailing Address - Country:US
Mailing Address - Phone:315-255-8766
Mailing Address - Fax:
Practice Address - Street 1:101 PULASKI ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1797
Practice Address - Country:US
Practice Address - Phone:315-255-8766
Practice Address - Fax:315-282-2804
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY616391163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY616391OtherRN LICENSE