Individual
DANIELLE DEPIERRO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10620 PARK RD, STE 202, CHARLOTTE, NC 28210-8472
(704) 667-0920
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06032
NC
363A00000X
Physician Assistant
085011414
IL
363A00000X
Physician Assistant
8349
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380799
—
WI
Enumeration date
10/26/2015
Last updated
11/12/2025
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