Provider Demographics
NPI:1801507553
Name:HASSENTEUFFEL, DANIELA V (FNP)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:V
Last Name:HASSENTEUFFEL
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 1:11803 SOUTH FWY STE 206
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7030
Mailing Address - Country:US
Mailing Address - Phone:817-806-1135
Mailing Address - Fax:817-806-1136
Practice Address - Street 1:11803 SOUTH FWY STE 206
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7030
Practice Address - Country:US
Practice Address - Phone:217-806-1135
Practice Address - Fax:817-806-1136
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099360363LF0000X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily