Provider Demographics
NPI:1861970857
Name:LEVECK, DANIELLE P (ACNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:P
Last Name:LEVECK
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:P
Other - Last Name:LEVECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP
Mailing Address - Street 1:10730 EUCLID AVE APT 1518
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2208
Mailing Address - Country:US
Mailing Address - Phone:317-445-7201
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2000097592363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care