Provider Demographics
NPI:1194488049
Name:CARVER, DANIELLE LEE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:LEE
Last Name:CARVER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20214 HARPER OAKS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2452
Mailing Address - Country:US
Mailing Address - Phone:450-637-3532
Mailing Address - Fax:
Practice Address - Street 1:18626 HARDY OAK BLVD
Practice Address - Street 2:SUITE #103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-582-5304
Practice Address - Fax:210-582-5307
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057025363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily