Healthcare Provider Details

I. General information

NPI: 1245652734
Provider Name (Legal Business Name): DANIELLE M ALLEN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE M DUBOW

II. Dates (important events)

Enumeration Date: 01/17/2014
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BOWMAN DRIVE SUITE E385 BACK
VOORHEES NJ
08043
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-840-4534
  • Fax: 856-762-2853
Mailing address:
  • Phone: 856-840-4534
  • Fax: 856-762-2853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00604200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP013633
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: