Healthcare Provider Details

I. General information

NPI: 1487994331
Provider Name (Legal Business Name): DANIELLE PAULETTE FLORES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE PAULETTE BROWN

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WOOD ST
EUREKA CA
95501-4413
US

IV. Provider business mailing address

2237 CALIFORNIA ST APT 3
EUREKA CA
95501-3612
US

V. Phone/Fax

Practice location:
  • Phone: 707-268-2990
  • Fax:
Mailing address:
  • Phone: 707-269-0798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number805164
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: