Healthcare Provider Details

I. General information

NPI: 1558803676
Provider Name (Legal Business Name): DANIELLE TRENELLI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2016
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 S ORANGE AVE
ORLANDO FL
32801-3383
US

IV. Provider business mailing address

450 S ORANGE AVE
ORLANDO FL
32801-3383
US

V. Phone/Fax

Practice location:
  • Phone: 407-305-6792
  • Fax: 407-264-8686
Mailing address:
  • Phone: 407-305-6792
  • Fax: 407-264-8686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00812100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: