Provider Demographics
NPI:1184395162
Name:VAN OOSBREE, DANIELLE (ARNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:VAN OOSBREE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W BURLINGTON
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-3242
Mailing Address - Country:US
Mailing Address - Phone:765-760-3816
Mailing Address - Fax:
Practice Address - Street 1:600 EAST COURT STE 200
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-2021
Practice Address - Country:US
Practice Address - Phone:515-243-3525
Practice Address - Fax:515-243-3448
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG165317363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health