Provider Demographics
NPI:1851650634
Name:CARLISLE, DANNIELE LEE
Entity type:Individual
Prefix:
First Name:DANNIELE
Middle Name:LEE
Last Name:CARLISLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 MOORES CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2967
Mailing Address - Country:US
Mailing Address - Phone:209-242-1990
Mailing Address - Fax:
Practice Address - Street 1:811 MOORES CT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2967
Practice Address - Country:US
Practice Address - Phone:209-242-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife