Provider Demographics
NPI:1538166830
Name:PIAR, DANIELLE ELIZABETH (ANP C)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ELIZABETH
Last Name:PIAR
Suffix:
Gender:F
Credentials:ANP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6566 W EMJAY AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85735
Mailing Address - Country:US
Mailing Address - Phone:520-240-7132
Mailing Address - Fax:
Practice Address - Street 1:445 NORTH SILVERBELL ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745
Practice Address - Country:US
Practice Address - Phone:520-624-8935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN098729363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ925951Medicaid
AZ2Z1869OtherHEALTHNET
AZQ25943Medicare UPIN
AZ110624Medicare ID - Type UnspecifiedMAYO CLINIC ARIZONA
AZ103477Medicare ID - Type Unspecified