# DANIELLE BULLARD FOX

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699773549
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 504 | WY | — |
| 363A00000X | Physician Assistant | 7969893-1206 | UT | — |
| 363A00000X | Physician Assistant | PA0003481 | CO | — |
| 363A00000X | Physician Assistant | PA22090 | CA | — |
| 363A00000X | Physician Assistant | PA60143632 | WA | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0223082 | LABOR & INDUSTRIES | WA |
| 05 | — | 1016622 | — | WA |