Provider Demographics
NPI:1689945719
Name:POY-WING, DANIELLE CHELSEA (RN, PHN, BSN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CHELSEA
Last Name:POY-WING
Suffix:
Gender:F
Credentials:RN, PHN, BSN
Other - Prefix:
Other - First Name:DANIELLA
Other - Middle Name:CHELSEA
Other - Last Name:POY-WING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, PHN, BSN
Mailing Address - Street 1:597 CENTER AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4640
Mailing Address - Country:US
Mailing Address - Phone:925-313-6166
Mailing Address - Fax:925-313-6188
Practice Address - Street 1:597 CENTER AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4640
Practice Address - Country:US
Practice Address - Phone:925-313-6166
Practice Address - Fax:925-313-6188
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA747728163WC0400X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator