Provider Demographics
NPI:1801338629
Name:ELSWICK, DANIELLE (ARNP, CNM)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:ELSWICK
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SW ARCHER RD
Mailing Address - Street 2:FOURTH FLOOR
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1136
Mailing Address - Country:US
Mailing Address - Phone:352-265-8200
Mailing Address - Fax:352-627-4375
Practice Address - Street 1:2000 SW ARCHER RD
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1136
Practice Address - Country:US
Practice Address - Phone:352-265-8200
Practice Address - Fax:352-627-4375
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9363797367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019356100Medicaid
FL019356100Medicaid