Individual
DANIELLE NICOLE FASSIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1018
(704) 377-1647
Mailing address
12714 WILLINGDON RD, HUNTERSVILLE, NC 28078-5704
(619) 248-6030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
328754
NC
367500000X
Certified Registered Nurse Anesthetist
685804
NY
Other
Enumeration date
05/07/2018
Last updated
02/19/2025
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