Provider Demographics
NPI:1295431500
Name:CALVILLO, DANIELLE CECILIA (APRN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CECILIA
Last Name:CALVILLO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 S 40TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2408
Mailing Address - Country:US
Mailing Address - Phone:402-483-6000
Mailing Address - Fax:402-483-6106
Practice Address - Street 1:1601 N 86TH ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-3713
Practice Address - Country:US
Practice Address - Phone:402-327-7500
Practice Address - Fax:402-327-7501
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114627363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner