Provider Demographics
NPI:1689081689
Name:CHAPLIN, DANIELLE (ARNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:CHAPLIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 NW 83RD ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5603
Mailing Address - Country:US
Mailing Address - Phone:352-377-2022
Mailing Address - Fax:352-377-9113
Practice Address - Street 1:3780 NW 83RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5603
Practice Address - Country:US
Practice Address - Phone:352-377-2022
Practice Address - Fax:352-377-9113
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9310509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015296600Medicaid
FL015296600Medicaid