Provider Demographics
NPI:1386115517
Name:PEREIRA, DANYELLE MARIA (PA)
Entity type:Individual
Prefix:
First Name:DANYELLE
Middle Name:MARIA
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:10500 ROCKVILLE PIKE UNIT 1114
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3347
Mailing Address - Country:US
Mailing Address - Phone:443-845-2711
Mailing Address - Fax:
Practice Address - Street 1:8081 INNOVATION PARK DR STE 900
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4867
Practice Address - Country:US
Practice Address - Phone:571-472-4100
Practice Address - Fax:571-472-4101
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2022-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110007914363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant