Provider Demographics
NPI:1912678996
Name:CARMITCHEL, DANIELLE LEA (APRN-C)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:LEA
Last Name:CARMITCHEL
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:LEA
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5422 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-2600
Mailing Address - Country:US
Mailing Address - Phone:913-486-5189
Mailing Address - Fax:
Practice Address - Street 1:7450 KESSLER ST STE 300
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2550
Practice Address - Country:US
Practice Address - Phone:913-632-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80543-071363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care