Healthcare Provider Details

I. General information

NPI: 1104773365
Provider Name (Legal Business Name): DANIELLE GREIG WESTERMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 ASHLEY AVE
CHARLESTON SC
29425-8911
US

IV. Provider business mailing address

2902 SPLIT HICKORY CT
JOHNS ISLAND SC
29455-8306
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-1414
  • Fax:
Mailing address:
  • Phone: 843-568-6309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number31743
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: