Provider Demographics
NPI:1710522560
Name:WEED, DAPHNE (APRN)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:
Last Name:WEED
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:
Other - Last Name:MACFOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1038 HOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-4226
Mailing Address - Country:US
Mailing Address - Phone:214-563-0260
Mailing Address - Fax:
Practice Address - Street 1:1038 HOLLAND DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-4226
Practice Address - Country:US
Practice Address - Phone:214-563-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily