Provider Demographics
NPI:1942405352
Name:TAKHAR, DANIELLE ALANA (RN)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:ALANA
Last Name:TAKHAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 RED MILLS RD
Mailing Address - Street 2:C-339
Mailing Address - City:WALLKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12589-3281
Mailing Address - Country:US
Mailing Address - Phone:845-744-9794
Mailing Address - Fax:
Practice Address - Street 1:800 RED MILLS RD
Practice Address - Street 2:C-339
Practice Address - City:WALLKILL
Practice Address - State:NY
Practice Address - Zip Code:12589-3281
Practice Address - Country:US
Practice Address - Phone:845-744-9794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-16
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5032371163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice