Healthcare Provider Details

I. General information

NPI: 1669327805
Provider Name (Legal Business Name): DANIELLE DALLMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANI DALLMANN

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 SLEEPY HOLLOW LOOP
BISMARCK ND
58501-7750
US

IV. Provider business mailing address

2807 SLEEPY HOLLOW LOOP
BISMARCK ND
58501-7750
US

V. Phone/Fax

Practice location:
  • Phone: 701-652-5294
  • Fax:
Mailing address:
  • Phone: 701-652-5294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR44627
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: