Provider Demographics
NPI:1255044947
Name:FLORES, DANIELA MARIA (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:MARIA
Last Name:FLORES
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 1:612 N WASHINGTON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4436
Mailing Address - Country:US
Mailing Address - Phone:432-332-9263
Mailing Address - Fax:432-332-9264
Practice Address - Street 1:612 N WASHINGTON AVE STE 200
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4436
Practice Address - Country:US
Practice Address - Phone:432-332-9263
Practice Address - Fax:432-332-9264
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1102201363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1102201OtherTX LICENSE