Healthcare Provider Details

I. General information

NPI: 1992507743
Provider Name (Legal Business Name): DANIELLE MARLENE ROWLAND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE MARLENE HERMAN APRN

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2355 POPLAR LEVEL RD STE 405
LOUISVILLE KY
40217-1389
US

IV. Provider business mailing address

PO BOX 776347
CHICAGO IL
60677-6347
US

V. Phone/Fax

Practice location:
  • Phone: 502-636-7845
  • Fax: 502-636-8045
Mailing address:
  • Phone: 502-272-5052
  • Fax: 502-629-6217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4043438
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: