Provider Demographics
NPI:1043965932
Name:FLORES, DANIELLE MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:FLORES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 SE MILITARY DR STE 117
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-2876
Mailing Address - Country:US
Mailing Address - Phone:210-924-8146
Mailing Address - Fax:210-675-9508
Practice Address - Street 1:1131 SE MILITARY DR STE 117
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-2876
Practice Address - Country:US
Practice Address - Phone:210-924-8146
Practice Address - Fax:210-675-9508
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059201363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology