Provider Demographics
NPI:1588916225
Name:RAND, DANIELLE N (PA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:N
Last Name:RAND
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16003-1549
Mailing Address - Country:US
Mailing Address - Phone:724-284-4060
Mailing Address - Fax:724-284-4144
Practice Address - Street 1:2602 WILMINGTON ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1538
Practice Address - Country:US
Practice Address - Phone:724-657-3204
Practice Address - Fax:724-652-7144
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2017-03-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031682320001Medicaid
PA1031682320001Medicaid