Provider Demographics
NPI:1407588742
Name:DANIELS, VERONICA LANET (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LANET
Last Name:DANIELS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 S HIGHWAY 78 STE 100
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-4099
Mailing Address - Country:US
Mailing Address - Phone:972-429-1077
Mailing Address - Fax:
Practice Address - Street 1:615 S HIGHWAY 78 STE 100
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4099
Practice Address - Country:US
Practice Address - Phone:972-429-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057037363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily