Provider Demographics
NPI:1598702854
Name:LEIGHTON, DANIELLE MARGARET (NP)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:MARGARET
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WHITE'S PATH, SUITE F
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664
Mailing Address - Country:US
Mailing Address - Phone:508-760-2054
Mailing Address - Fax:508-760-1218
Practice Address - Street 1:23 WHITES PATH STE F
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1238
Practice Address - Country:US
Practice Address - Phone:508-760-2054
Practice Address - Fax:508-760-1218
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262218363L00000X
CT004905363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAML0627375IOtherCSR
MA0038294OtherNHP
MA262218OtherLICENSE
MA262218OtherLICENSE
MA0038294OtherNHP
MA221829Medicare Oscar/Certification
MAQ71022Medicare UPIN