Individual
MS. DANIELLE AYERS DESTFINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R238171
MD
363LF0000X
Family Nurse Practitioner
SP016305
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
R238171
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13887978
—
PA
Enumeration date
09/11/2013
Last updated
04/21/2025
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