Provider Demographics
NPI:1881222008
Name:WAPLES, DANIELLE FONTAINE (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:FONTAINE
Last Name:WAPLES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:FONTAINE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:624 E FRONT AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-2139
Mailing Address - Country:US
Mailing Address - Phone:509-626-9900
Mailing Address - Fax:
Practice Address - Street 1:4102 S REGAL ST STE 101
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-5083
Practice Address - Country:US
Practice Address - Phone:509-535-2277
Practice Address - Fax:877-521-3271
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP61460340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine