Provider Demographics
NPI:1346781069
Name:TOAL, DANIELLE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:TOAL
Suffix:
Gender:F
Credentials:DNP, 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 1:2116 MEGAN DR
Mailing Address - Street 2:SUITE102
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-1979
Mailing Address - Country:US
Mailing Address - Phone:573-335-7546
Mailing Address - Fax:573-335-7550
Practice Address - Street 1:2116 MEGAN DR
Practice Address - Street 2:SUITE102
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-1979
Practice Address - Country:US
Practice Address - Phone:573-335-7546
Practice Address - Fax:573-335-7550
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOF06161113363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care