Provider Demographics
NPI:1477610103
Name:DANIELS, UVONNA MAUDINE (C FNP)
Entity Type:Individual
Prefix:MRS
First Name:UVONNA
Middle Name:MAUDINE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:C FNP
Other - Prefix:MRS
Other - First Name:UVONNA
Other - Middle Name:WEEKS
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:C FNP
Mailing Address - Street 1:500 GLENEAGLE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4511
Mailing Address - Country:US
Mailing Address - Phone:757-499-7142
Mailing Address - Fax:757-499-5727
Practice Address - Street 1:2100 LYNHAVEN PARKWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-1492
Practice Address - Country:US
Practice Address - Phone:757-314-8942
Practice Address - Fax:757-314-8934
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001082910363LF0000X
VA0017000285363LF0000X
VA0024082910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily