Healthcare Provider Details

I. General information

NPI: 1982837787
Provider Name (Legal Business Name): DANNIELLE O HARWOOD, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 02/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 ESPLANADE SUITE 4
CHICO CA
95926-3367
US

IV. Provider business mailing address

1645 ESPLANADE SUITE 4
CHICO CA
95926-3367
US

V. Phone/Fax

Practice location:
  • Phone: 530-343-1200
  • Fax: 530-894-3107
Mailing address:
  • Phone: 530-343-1200
  • Fax: 530-894-3107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA98775
License Number StateCA

VIII. Authorized Official

Name: DR. DANNIELLE OLIVIA HARWOOD
Title or Position: PHYSICIAN
Credential: MD
Phone: 530-343-1200