Provider Demographics
NPI:1881209179
Name:MCCOLE, DANIELLE LAPREE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LAPREE
Last Name:MCCOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 YEARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537-1910
Mailing Address - Country:US
Mailing Address - Phone:330-309-5303
Mailing Address - Fax:
Practice Address - Street 1:400 YEARWOOD LN
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537-1910
Practice Address - Country:US
Practice Address - Phone:330-309-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-13
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX348562OtherLICENSED PRACTICAL NURSE