Provider Demographics
NPI:1649645987
Name:LEVIN, DANIELLE (WHNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 W CHESTER PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2336
Mailing Address - Country:US
Mailing Address - Phone:484-337-1667
Mailing Address - Fax:
Practice Address - Street 1:255 W LANCASTER AVE STE 331
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1766
Practice Address - Country:US
Practice Address - Phone:484-222-6200
Practice Address - Fax:610-520-0744
Is Sole Proprietor?:No
Enumeration Date:2015-12-12
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015735363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health