Provider Demographics
NPI:1346680352
Name:WARD, DANIELLE LIND (ARNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LIND
Last Name:WARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:M
Other - Last Name:LIND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 36TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4862
Mailing Address - Country:US
Mailing Address - Phone:772-567-4311
Mailing Address - Fax:772-563-4443
Practice Address - Street 1:1000 36TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4862
Practice Address - Country:US
Practice Address - Phone:772-567-4311
Practice Address - Fax:772-563-4443
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9272027363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 9272027OtherSTATE LICENSE
FLARNP 9272027OtherSTATE LICENSE