Healthcare Provider Details

I. General information

NPI: 1699215889
Provider Name (Legal Business Name): DANIELLE LOUISE SPADAFORA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 S WEST END BLVD
QUAKERTOWN PA
18951-1140
US

IV. Provider business mailing address

1700 S LINCOLN AVE
LEBANON PA
17042-7529
US

V. Phone/Fax

Practice location:
  • Phone: 215-538-4930
  • Fax:
Mailing address:
  • Phone: 717-272-6621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017299
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP017299
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: