Basic Information
Provider Information
NPI: 1821322777
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLEN
FirstName: DANIELLE
MiddleName: ANNETTE
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3705 FM 1488 RD
Address2:  
City: THE WOODLANDS
State: TX
PostalCode: 773843951
CountryCode: US
TelephoneNumber: 8663892727
FaxNumber:  
Practice Location
Address1: 3705 FM 1488 RD
Address2:  
City: THE WOODLANDS
State: TX
PostalCode: 773843951
CountryCode: US
TelephoneNumber: 8663892727
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/24/2009
LastUpdateDate: 05/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP118456TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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