Basic Information
| Provider Information | |||||||||
| NPI: | 1770704918 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARFOOT | ||||||||
| FirstName: | DANIELLE | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1560 E MAPLE RD | ||||||||
| Address2: | SUITE 400- CREDENTIALING | ||||||||
| City: | TROY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480831138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8005276266 | ||||||||
| FaxNumber: | 3135768381 | ||||||||
| Practice Location | |||||||||
| Address1: | 44038 WOODWARD AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | BLOOMFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483340050 | ||||||||
| FaxNumber: | 2483341368 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 09/15/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 5601003641 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.