Provider Demographics
NPI:1700012408
Name:PFAFF, DANIELLE M (RN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:PFAFF
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 1:235 S PLYMOUTH AVE
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14608-2240
Mailing Address - Country:US
Mailing Address - Phone:585-802-9727
Mailing Address - Fax:
Practice Address - Street 1:235 S PLYMOUTH AVE
Practice Address - Street 2:APARTMENT 2
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14608-2240
Practice Address - Country:US
Practice Address - Phone:585-802-9727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY595081-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse