Healthcare Provider Details

I. General information

NPI: 1306764642
Provider Name (Legal Business Name): DANELLE WOOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4903 VERDE LN
BILLINGS MT
59106-2739
US

IV. Provider business mailing address

4903 VERDE LN
BILLINGS MT
59106-2739
US

V. Phone/Fax

Practice location:
  • Phone: 406-600-0835
  • Fax:
Mailing address:
  • Phone: 406-600-0835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberNUR-RN-LIC-128995
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: