Basic Information
Provider Information
NPI: 1376978726
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHELL
FirstName: DANIELLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCHURR
OtherFirstName: DANIELLE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: CNM
OtherLastNameType: 1
Mailing Information
Address1: 24 FRANK LLOYD WRIGHT DR
Address2: PO BOX 0446 - LOBBY J
City: ANN ARBOR
State: MI
PostalCode: 481059484
CountryCode: US
TelephoneNumber: 7347476766
FaxNumber: 7342223100
Practice Location
Address1: 4200 WHITEHALL DRIVE
Address2: STE 330
City: ANN ARBOR
State: MI
PostalCode: 481052969
CountryCode: US
TelephoneNumber: 7345729600
FaxNumber: 7342223100
Other Information
ProviderEnumerationDate: 09/04/2013
LastUpdateDate: 10/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X4704266708MIY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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