Provider Demographics
NPI:1972231462
Name:VILLARAN, DANIELLA (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:DANIELLA
Middle Name:
Last Name:VILLARAN
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 RITCHIE HWY STE E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MD
Mailing Address - Zip Code:21225-3481
Mailing Address - Country:US
Mailing Address - Phone:410-355-0340
Mailing Address - Fax:
Practice Address - Street 1:5505 RITCHIE HWY STE E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MD
Practice Address - Zip Code:21225-3481
Practice Address - Country:US
Practice Address - Phone:410-355-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR225630363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily