Provider Demographics
NPI:1881667004
Name:STOOK, DANIELLE JEAN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:JEAN
Last Name:STOOK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:JEAN
Other - Last Name:COWLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1395 S STATE ROAD 7
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9325
Mailing Address - Country:US
Mailing Address - Phone:561-795-2878
Mailing Address - Fax:561-795-0464
Practice Address - Street 1:1395 S STATE ROAD 7
Practice Address - Street 2:SUITE 300
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9325
Practice Address - Country:US
Practice Address - Phone:561-795-2878
Practice Address - Fax:561-795-0464
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007184363LF0000X
FLARNP9435208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0039573OtherLABOR AND INDUSTRIES #
AKNP573WAMedicaid
WAP00393171OtherRAILROAD MC #
WA9652637Medicaid
WA3273COOtherBLUE SHIELD #
WAUS7503941OtherAETNA PCP PIN #
WA3273COOtherBLUE SHIELD #
Q65315Medicare UPIN