Healthcare Provider Details

I. General information

NPI: 1114429826
Provider Name (Legal Business Name): DANIELLE C MARTIN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE FILER

II. Dates (important events)

Enumeration Date: 03/08/2018
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST
YORK PA
17403
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2345
  • Fax:
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN642908
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN642908
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: