Provider Demographics
NPI:1891106415
Name:KASSELLA, DANIELLE (ARNP, PMHNP-BC FNP-C)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:KASSELLA
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13780 SE 46TH ST
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-1014
Mailing Address - Country:US
Mailing Address - Phone:863-634-2672
Mailing Address - Fax:
Practice Address - Street 1:1000 SE MONTEREY COMMONS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3327
Practice Address - Country:US
Practice Address - Phone:772-882-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2917662363LF0000X
FLAPRN2917662363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily