Provider Demographics
NPI:1043800840
Name:TOWNS, DAPHNEY
Entity Type:Individual
Prefix:
First Name:DAPHNEY
Middle Name:
Last Name:TOWNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 8TH AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-2133
Mailing Address - Country:US
Mailing Address - Phone:941-933-0430
Mailing Address - Fax:
Practice Address - Street 1:1011 8TH AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-2133
Practice Address - Country:US
Practice Address - Phone:941-933-0430
Practice Address - Fax:914-750-8236
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL70963163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70937063OtherSELF-PAY