MEDICARE: DANIELLE LOUPEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	14-013467	IN

General Provider Information

NPI Number	:	1437557683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LOUPEE

Provider Business Mailing Address
First Line	:	310 N IRONWOOD DR
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46615-2520
Country	:	US
Telephone Number	:	574-232-8487
Fax Number	:	574-222-2670

Provider Business Practice Location Address
First Line	:	310 N IRONWOOD DR
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46615-2520
Country	:	US
Telephone Number	:	742-328-4875
Fax Number	:	574-222-2670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2014
Last Update Date	:	09/25/2024

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Directions to “ DANIELLE LOUPEE ” Practice Location

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