Provider Demographics
NPI:1588547194
Name:MCREYNOLDS, DANIELLE MARIE (RN, BSN, MS, CCM)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:MARIE
Last Name:MCREYNOLDS
Suffix:
Gender:F
Credentials:RN, BSN, MS, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 E COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-1936
Mailing Address - Country:US
Mailing Address - Phone:563-726-9984
Mailing Address - Fax:877-874-2463
Practice Address - Street 1:1135 E COLORADO ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-1936
Practice Address - Country:US
Practice Address - Phone:563-726-9984
Practice Address - Fax:877-874-2463
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA078130163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management