Provider Demographics
NPI:1891520722
Name:CHURCHMAN, DANIELLE P
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:P
Last Name:CHURCHMAN
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 1:525 COLLIER RIDGE DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-7205
Mailing Address - Country:US
Mailing Address - Phone:404-702-9132
Mailing Address - Fax:
Practice Address - Street 1:525 COLLIER RIDGE DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-7205
Practice Address - Country:US
Practice Address - Phone:404-702-9132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula