Provider Demographics
NPI:1245846427
Name:EKWUE, DANIAYA KAREECE (FNP)
Entity type:Individual
Prefix:MRS
First Name:DANIAYA
Middle Name:KAREECE
Last Name:EKWUE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10401 FAIRWAY VISTA DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-8546
Mailing Address - Country:US
Mailing Address - Phone:972-804-3301
Mailing Address - Fax:
Practice Address - Street 1:10401 FAIRWAY VISTA DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-8546
Practice Address - Country:US
Practice Address - Phone:972-804-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily