Provider Demographics
NPI:1841519477
Name:ATKINS, DANIELLE D (STNA)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:D
Last Name:ATKINS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 EAGLE CT APT A
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-5902
Mailing Address - Country:US
Mailing Address - Phone:419-680-3596
Mailing Address - Fax:
Practice Address - Street 1:830 EAGLE CT APT A
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-5902
Practice Address - Country:US
Practice Address - Phone:419-680-3596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH377299300498376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide