Provider Demographics
NPI:1346590056
Name:VOOGD, DANIELLE JOANN (RN)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:JOANN
Last Name:VOOGD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 N AVENIDA ALEGRE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2254
Mailing Address - Country:US
Mailing Address - Phone:520-770-0737
Mailing Address - Fax:
Practice Address - Street 1:5455 S CARDINAL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85746-2168
Practice Address - Country:US
Practice Address - Phone:520-908-5417
Practice Address - Fax:520-908-5403
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN141943163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool