Provider Demographics
NPI:1811554082
Name:WINZELER, DANIELLE ANAIS (FNP-C)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANAIS
Last Name:WINZELER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:ANAIS
Other - Last Name:ALVERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9078 RAIL ST.
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49274
Mailing Address - Country:US
Mailing Address - Phone:517-523-2127
Mailing Address - Fax:517-523-3976
Practice Address - Street 1:9078 RAIL ST.
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:MI
Practice Address - Zip Code:49274
Practice Address - Country:US
Practice Address - Phone:517-523-2127
Practice Address - Fax:517-523-3976
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704307941363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily