Provider Demographics
NPI:1831351642
Name:CHELLAPPOO, DANIELLE E (NPC)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:E
Last Name:CHELLAPPOO
Suffix:
Gender:F
Credentials:NPC
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Other - Credentials:
Mailing Address - Street 1:4501 EMPIRE CT
Mailing Address - Street 2:HOAF
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-1949
Mailing Address - Country:US
Mailing Address - Phone:540-371-0079
Mailing Address - Fax:540-371-4254
Practice Address - Street 1:4501 EMPIRE CT
Practice Address - Street 2:HOAF
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-1949
Practice Address - Country:US
Practice Address - Phone:540-371-0079
Practice Address - Fax:540-371-4254
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEAPN-0001489363L00000X
DELB-0000213363L00000X
VARN0001169340163WX0200X
VA0017139723363LA2200X
VA0024168743363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WX0200XNursing Service ProvidersRegistered NurseOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE135399ZAG8Medicare PIN