Provider Demographics
NPI:1881209179
Name:MCCOLE, DANIELLE LAPREE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LAPREE
Last Name:MCCOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:879 WALNUT RD SE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-8230
Mailing Address - Country:US
Mailing Address - Phone:330-754-9012
Mailing Address - Fax:
Practice Address - Street 1:879 WALNUT RD SE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-8230
Practice Address - Country:US
Practice Address - Phone:330-754-9012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-13
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH169259164W00000X
372600000X, 374U00000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX348562OtherLICENSED PRACTICAL NURSE