National Provider Identifier
Daniell Moore
Daniell Moore is listed in the NPPES registry with a primary specialty of Registered Dietitian in Gowanda, NY and a listed phone number of (716) 951-7252.
Profile Overview
- NPI
- 1508241332
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 22, 2015
- Last Updated
- July 22, 2015
Practice Location
- 100 Memorial Dr
- Gowanda, NY 14070-1111
Phone: (716) 951-7252
Mailing Address
- 845 Routes 5 & 20
- Irving, NY 14081
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1508241332
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Daniell
- Name Prefix
- Mrs.
- Provider Other Last Name
- Krotje
- Provider Other First Name
- Danielle
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- RD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 845 Routes 5 & 20
- Mailing City
- Irving
- Mailing State
- NY
- Mailing ZIP Code
- 14081
- Mailing Country
- US
- Mailing Phone
- (716) 951-7252
- Mailing Fax
- (716) 951-7227
- Practice Street Address
- 100 Memorial Dr
- Practice City
- Gowanda
- Practice State
- NY
- Practice ZIP Code
- 14070-1111
- Practice Country
- US
- Practice Phone
- (716) 951-7252
- Practice Fax
- (716) 951-7227
- Enumeration Date
- July 22, 2015
- Last Updated
- July 22, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)