Individual
DANIELLE NICOLE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 EAST NORTH AVENUE, HEMLOCK BUILDING, PITTSBURGH, PA 15212-4756
(412) 359-6200
Mailing address
320 EAST NORTH AVENUE, HEMLOCK BUILDING, PITTSBURGH, PA 15212-4756
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA061416
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16485925
CAQH
—
Enumeration date
01/12/2020
Last updated
05/12/2025
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