Provider Demographics
NPI:1366305492
Name:PAKUS, DANIELLE (BS, CPD, CLE, CPT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:PAKUS
Suffix:
Gender:F
Credentials:BS, CPD, CLE, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 LARCH ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-2713
Mailing Address - Country:US
Mailing Address - Phone:978-618-9586
Mailing Address - Fax:
Practice Address - Street 1:46 LARCH ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510-2713
Practice Address - Country:US
Practice Address - Phone:978-618-9586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula