Provider Demographics
NPI:1760800841
Name:SAVOIE, DANIELLE LYNN
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LYNN
Last Name:SAVOIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:LYNN
Other - Last Name:BURCHFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4938 S CARVER RD
Mailing Address - Street 2:
Mailing Address - City:ORFORDVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53576-9630
Mailing Address - Country:US
Mailing Address - Phone:608-718-9902
Mailing Address - Fax:
Practice Address - Street 1:4938 S CARVER RD
Practice Address - Street 2:
Practice Address - City:ORFORDVILLE
Practice Address - State:WI
Practice Address - Zip Code:53576-9630
Practice Address - Country:US
Practice Address - Phone:608-718-9902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI160339-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse