Provider Demographics
NPI:1154860369
Name:WOODLEY, DANIELLE OLIVIA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:OLIVIA
Last Name:WOODLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BUSINESS CENTER DR.
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585
Mailing Address - Country:US
Mailing Address - Phone:888-467-1117
Mailing Address - Fax:888-990-3903
Practice Address - Street 1:201 BUSINESS CENTER DR.
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585
Practice Address - Country:US
Practice Address - Phone:888-467-1117
Practice Address - Fax:888-990-3903
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20744363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily