Healthcare Provider Details

I. General information

NPI: 1013537174
Provider Name (Legal Business Name): DANIELLE MARY KLEIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE MARY WHITE REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 04/19/2020
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

5337 PARK AVE
MINNEAPOLIS MN
55417-1719
US

V. Phone/Fax

Practice location:
  • Phone: 206-762-1010
  • Fax:
Mailing address:
  • Phone: 206-910-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12393
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number12393
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: