Provider Demographics
NPI:1023161155
Name:FEERICK, DANIELLE K (NP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:K
Last Name:FEERICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 LATTIMORE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4159
Mailing Address - Country:US
Mailing Address - Phone:585-275-2691
Mailing Address - Fax:585-242-8707
Practice Address - Street 1:125 LATTIMORE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4159
Practice Address - Country:US
Practice Address - Phone:585-275-2691
Practice Address - Fax:585-242-8707
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY420762363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner