Healthcare Provider Details

I. General information

NPI: 1831261064
Provider Name (Legal Business Name): DANIELLA CHRISTINA GRAHAM WHNP (APRN)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLA CHRISTINA STOCKTON WHNP

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/25/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 GULF FWY
HOUSTON TX
77023-3533
US

IV. Provider business mailing address

5207 SUNSHINE PT
WILLIS TX
77318-9129
US

V. Phone/Fax

Practice location:
  • Phone: 713-522-3976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN652964
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP113137
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: