Provider Demographics
NPI:1619492741
Name:DUHON, DANIELLE (CPNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:DUHON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:DANIELLE
Other - Last Name:DUHON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPNP
Mailing Address - Street 1:1401 MEDICAL PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-5026
Mailing Address - Country:US
Mailing Address - Phone:512-901-4038
Mailing Address - Fax:
Practice Address - Street 1:1401 MEDICAL PKWY STE 150
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-5026
Practice Address - Country:US
Practice Address - Phone:512-901-4038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134458363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics