Provider Demographics
NPI:1992563522
Name:BESSETTE-GALLEY, DANIELLE CLAIRE (BSN-RN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CLAIRE
Last Name:BESSETTE-GALLEY
Suffix:
Gender:F
Credentials:BSN-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12151 VALLEY BROOK CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-9722
Mailing Address - Country:US
Mailing Address - Phone:317-407-4998
Mailing Address - Fax:
Practice Address - Street 1:2200 N RILEY HWY
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-9465
Practice Address - Country:US
Practice Address - Phone:317-398-8422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28221084A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse