Provider Demographics
NPI:1760996854
Name:WILLIAMS, DANIELLE LOUISE (MSN, CRNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LOUISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:LOUISE
Other - Last Name:HAUSAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 S WADSWORTH BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1566
Mailing Address - Country:US
Mailing Address - Phone:720-330-9760
Mailing Address - Fax:
Practice Address - Street 1:215 S WADSWORTH BLVD STE 530
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1566
Practice Address - Country:US
Practice Address - Phone:720-330-9760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017733363LF0000X
COAPN.0995452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103410749Medicaid