Individual
DANIELLE BROCCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(908) 370-8735
Mailing address
483 CLEAR CREEK LN, COPPELL, TX 75019-3310
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
962107
TX
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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