Basic Information
| Provider Information | |||||||||
| NPI: | 1689294399 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LION | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, APN, CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 SPRING VALLEY RD | ||||||||
| Address2: | |||||||||
| City: | PARK RIDGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076561860 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014583909 | ||||||||
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| Practice Location | |||||||||
| Address1: | 150 BERGEN ST | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 071032496 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739727867 | ||||||||
| FaxNumber: | 9739722357 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2020 | ||||||||
| LastUpdateDate: | 08/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | 26NR15028700 | NJ | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 367500000X | 26NJ01046600 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.