Provider Demographics
NPI:1972481349
Name:BROOKS, DANIELLE NICHOLE (MSN-NM, APRN, CNM)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:NICHOLE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MSN-NM, APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 NEWBERG RD
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-8289
Mailing Address - Country:US
Mailing Address - Phone:803-931-2931
Mailing Address - Fax:803-931-2931
Practice Address - Street 1:1 WELLNESS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2873
Practice Address - Country:US
Practice Address - Phone:803-567-8875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30832176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife