Provider Demographics
NPI:1952953622
Name:ENE, DANIELA (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:ENE
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 1:4454 W ESTES AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-2228
Mailing Address - Country:US
Mailing Address - Phone:847-337-7189
Mailing Address - Fax:
Practice Address - Street 1:4454 W ESTES AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-2228
Practice Address - Country:US
Practice Address - Phone:847-337-7189
Practice Address - Fax:847-983-0203
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015482363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner