Healthcare Provider Details

I. General information

NPI: 1902767411
Provider Name (Legal Business Name): DANIELLE MONIQUE CHIPLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 S WEST AVE
WAUKESHA WI
53186-5909
US

IV. Provider business mailing address

3422 N 49TH ST
MILWAUKEE WI
53216-3208
US

V. Phone/Fax

Practice location:
  • Phone: 414-943-2449
  • Fax: 314-649-5511
Mailing address:
  • Phone: 414-943-2449
  • Fax: 314-649-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: