Healthcare Provider Details

I. General information

NPI: 1891607214
Provider Name (Legal Business Name): DANIELLE LYNN SMITH BSN, RN, SANE-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE LYNN BIANCO

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 OLD MAIN NURSING SCIENCES BUILDING
UNIVERSITY PARK PA
16802-1503
US

IV. Provider business mailing address

201 OLD MAIN
UNIVERSITY PARK PA
16802-1503
US

V. Phone/Fax

Practice location:
  • Phone: 814-876-8985
  • Fax:
Mailing address:
  • Phone: 408-834-0915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number95124158
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: