Provider Demographics
NPI:1043022320
Name:ALVES, DANIELLA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DANIELLA
Middle Name:
Last Name:ALVES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 BELLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-1364
Mailing Address - Country:US
Mailing Address - Phone:203-361-1440
Mailing Address - Fax:
Practice Address - Street 1:64 DOUBLE HILL RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:CT
Practice Address - Zip Code:06751-1101
Practice Address - Country:US
Practice Address - Phone:203-659-0539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2023127689363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health