Healthcare Provider Details

I. General information

NPI: 1982226536
Provider Name (Legal Business Name): DANIELLE GOLDMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2020
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 CASS AVE
WOONSOCKET RI
02895-4705
US

IV. Provider business mailing address

17 AIRPORT RD
WARWICK RI
02889-1001
US

V. Phone/Fax

Practice location:
  • Phone: 732-936-6447
  • Fax:
Mailing address:
  • Phone: 917-816-6749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03656
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF345638-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: