Provider Demographics
NPI:1811735590
Name:REDDINGER, DANIELA JEAN (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:JEAN
Last Name:REDDINGER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:GILLESPIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:124 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17026
Mailing Address - Country:US
Mailing Address - Phone:717-865-6183
Mailing Address - Fax:
Practice Address - Street 1:124 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:PA
Practice Address - Zip Code:17026
Practice Address - Country:US
Practice Address - Phone:717-865-6183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2024029114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily