Provider Demographics
NPI:1043051782
Name:ALEXIEFF, DANIELLE J (APN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:J
Last Name:ALEXIEFF
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WOODRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1613
Mailing Address - Country:US
Mailing Address - Phone:908-902-9058
Mailing Address - Fax:
Practice Address - Street 1:7 WOODRIDGE AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-1613
Practice Address - Country:US
Practice Address - Phone:908-902-9058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15083700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily