Provider Demographics
NPI:1992441471
Name:FITZPATRICK, DANIELLE CHIASSON (RN)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CHIASSON
Last Name:FITZPATRICK
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 1:602 KIMBERLY ANN DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-6715
Mailing Address - Country:US
Mailing Address - Phone:504-717-6631
Mailing Address - Fax:
Practice Address - Street 1:22410 LEVEL ST
Practice Address - Street 2:
Practice Address - City:ABITA SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70420-2474
Practice Address - Country:US
Practice Address - Phone:985-273-3692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN119037163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool