Provider Demographics
NPI:1699293548
Name:HARLOW, DANIELLE (RN)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:HARLOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 SHANGRILA DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4120
Mailing Address - Country:US
Mailing Address - Phone:513-709-7099
Mailing Address - Fax:
Practice Address - Street 1:6139 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6312
Practice Address - Country:US
Practice Address - Phone:513-346-3399
Practice Address - Fax:513-389-0957
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021918363LF0000X
OHCNP.021918363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0462231Medicaid