Provider Demographics
NPI:1043217946
Name:LINDEN, DANIELLE MOFFATT (ARNP-BC)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:MOFFATT
Last Name:LINDEN
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 SE 16TH PL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-7431
Mailing Address - Country:US
Mailing Address - Phone:954-422-8941
Mailing Address - Fax:954-422-8941
Practice Address - Street 1:1861 W. HILLSBORO BLVD.
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1401
Practice Address - Country:US
Practice Address - Phone:954-422-8941
Practice Address - Fax:954-422-8941
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2624982363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP009820001Medicare UPIN