Provider Demographics
NPI:1447147590
Name:PALMER, DANIELLE (DNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10945 GEORGE MASON CIR STE 105
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-2233
Mailing Address - Country:US
Mailing Address - Phone:703-686-3835
Mailing Address - Fax:
Practice Address - Street 1:10945 GEORGE MASON CIR STE 105
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-2233
Practice Address - Country:US
Practice Address - Phone:703-686-3835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024194103363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care