Provider Demographics
NPI:1386054179
Name:WAYMEYER, DANIELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:WAYMEYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 COLGAN RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:KY
Mailing Address - Zip Code:41093-8932
Mailing Address - Country:US
Mailing Address - Phone:513-498-5055
Mailing Address - Fax:
Practice Address - Street 1:927 KENTON STATION DR
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9617
Practice Address - Country:US
Practice Address - Phone:606-759-0014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA 0020032183500000X
KY016468183500000X
KY21600003174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
21600003OtherNATIONAL CERTIFICATION BOARD OF DIABETES EDUCATORS