Provider Demographics
NPI:1063956399
Name:CAVALIERI, DANIELLE M
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:CAVALIERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:M
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:118 E PLUM ST
Mailing Address - Street 2:
Mailing Address - City:EDINBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16412-2252
Mailing Address - Country:US
Mailing Address - Phone:814-734-7600
Mailing Address - Fax:814-734-4312
Practice Address - Street 1:118 E PLUM ST
Practice Address - Street 2:
Practice Address - City:EDINBORO
Practice Address - State:PA
Practice Address - Zip Code:16412-2252
Practice Address - Country:US
Practice Address - Phone:814-734-7600
Practice Address - Fax:814-734-4312
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2019-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN615258363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner