Provider Demographics
NPI:1013452150
Name:BERNACCHI, DANIELLE MARIE (MSN, FNP-C, APNP)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:MARIE
Last Name:BERNACCHI
Suffix:
Gender:F
Credentials:MSN, FNP-C, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W308S2809 WILD BERRY CT
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-9105
Mailing Address - Country:US
Mailing Address - Phone:262-391-0575
Mailing Address - Fax:
Practice Address - Street 1:W308S2809 WILD BERRY CT
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-9105
Practice Address - Country:US
Practice Address - Phone:262-391-0575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7429-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily