Basic Information
| Provider Information | |||||||||
| NPI: | 1649645987 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEVIN | ||||||||
| FirstName: | DANIELLE | ||||||||
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| Credential: | WHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3014 PEACOCK DR | ||||||||
| Address2: | |||||||||
| City: | AUDUBON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194031716 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 633 W GERMANTOWN PIKE | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | PLYMOUTH MEETING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194621032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4846227940 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2015 | ||||||||
| LastUpdateDate: | 12/12/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | SP015735 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.