Provider Demographics
NPI:1740966381
Name:PIRES, DANITA MARIE (DNP/ A-GNP-C)
Entity type:Individual
Prefix:
First Name:DANITA
Middle Name:MARIE
Last Name:PIRES
Suffix:
Gender:F
Credentials:DNP/ A-GNP-C
Other - Prefix:
Other - First Name:DANITA
Other - Middle Name:MARIE
Other - Last Name:FERNANDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7004 JASPER DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8750
Mailing Address - Country:US
Mailing Address - Phone:570-592-8377
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN STE C618
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6855
Practice Address - Country:US
Practice Address - Phone:972-566-5400
Practice Address - Fax:972-566-5460
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1126445363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology