Provider Demographics
NPI:1386121531
Name:FREE, DANIELLE PETROSKY (NP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:PETROSKY
Last Name:FREE
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1010 EDNAM CTR STE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4624
Mailing Address - Country:US
Mailing Address - Phone:434-300-3733
Mailing Address - Fax:434-322-4082
Practice Address - Street 1:1010 EDNAM CTR STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4616
Practice Address - Country:US
Practice Address - Phone:434-300-3733
Practice Address - Fax:434-322-4082
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024176370363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health