Provider Demographics
NPI:1134463896
Name:MINTON, DANIELLE W (ANP-BC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:W
Last Name:MINTON
Suffix:
Gender:
Credentials:ANP-BC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:RENEE
Other - Last Name:WITTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:845 CEDAR CREST DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5306
Mailing Address - Country:US
Mailing Address - Phone:615-284-3060
Mailing Address - Fax:
Practice Address - Street 1:2100 CHURCH ST STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-8023
Practice Address - Country:US
Practice Address - Phone:615-284-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17122363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health