Provider Demographics
NPI:1821297896
Name:DANLEY, CHRISTINA MICHELLE (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MICHELLE
Last Name:DANLEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2075 TAWLEED RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4322
Mailing Address - Country:US
Mailing Address - Phone:760-525-1541
Mailing Address - Fax:
Practice Address - Street 1:1095 N HILLS BLVD STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-8691
Practice Address - Country:US
Practice Address - Phone:775-677-1020
Practice Address - Fax:775-677-0817
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3742152W00000X
CA14676152W00000X
ID100575152W00000X
TN2792152WV0400X
NV999152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy