Healthcare Provider Details

I. General information

NPI: 1487581575
Provider Name (Legal Business Name): DANIELLE MONET MURILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

776 LAUREL SPRINGS CT
EVANS GA
30809
US

IV. Provider business mailing address

SCHOOL OF NURSING CBX 063
MILLEDGEVILLE GA
31061
US

V. Phone/Fax

Practice location:
  • Phone: 706-288-7595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSTUDENT
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: