Healthcare Provider Details

I. General information

NPI: 1366339640
Provider Name (Legal Business Name): DANEEN BREITENBACH APRN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANEEN KAUFFMAN

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 6TH AVE S
ST PETERSBURG FL
33701-4634
US

IV. Provider business mailing address

32724 ANSLEY BLOOM LN
WESLEY CHAPEL FL
33543
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-4313
  • Fax:
Mailing address:
  • Phone: 717-725-0130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number11040736
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN9482903
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN601978
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: