Healthcare Provider Details

I. General information

NPI: 1154241487
Provider Name (Legal Business Name): DANIELLE NICHOLE MARSHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 MAIN ST APT B
HUNTER ND
58048-4005
US

IV. Provider business mailing address

207 MAIN ST APT B
HUNTER ND
58048-4005
US

V. Phone/Fax

Practice location:
  • Phone: 701-660-9075
  • Fax:
Mailing address:
  • Phone: 701-660-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: