Provider Demographics
NPI:1891209060
Name:DIPRE, DANIELLE LEA (PHMNP-BC DNP)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LEA
Last Name:DIPRE
Suffix:
Gender:F
Credentials:PHMNP-BC DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-1252
Mailing Address - Country:US
Mailing Address - Phone:724-422-1574
Mailing Address - Fax:
Practice Address - Street 1:1307 FEDERAL ST STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4769
Practice Address - Country:US
Practice Address - Phone:412-442-2335
Practice Address - Fax:412-330-4366
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018151363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health