Healthcare Provider Details

I. General information

NPI: 1295990877
Provider Name (Legal Business Name): DANIELLE CHRISTINE MONTEIL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE CHRISTINE OUIMETTE M.D.

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 05/18/2022
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 JOHN PAUL JONES CIR DEPT OF
PORTSMOUTH VA
23708-2111
US

IV. Provider business mailing address

705 LINCOLNSHIRE CT
CHESAPEAKE VA
23322-8880
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-5652
  • Fax: 757-953-7134
Mailing address:
  • Phone: 301-233-5307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number25313
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number25313
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: