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1841625654 NPI number — DANIELLE AYERS DESTFINO CRNP, FNP-C

NPI Number: 1841625654
Health Care Provider/Practitioner: DANIELLE AYERS DESTFINO CRNP, FNP-C

Information about “1841625654” NPI (DANIELLE AYERS DESTFINO CRNP, FNP-C) exists in 1841625654 in HTML format HTML  |  1841625654 in plain Text format TXT  |  1841625654 in PDF (Portable Document Format) PDF  |  1841625654 in an XML format XML  formats.

NPI Number : 1841625654 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841625654",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DESTFINO",
    "FirstName": "DANIELLE",
    "MiddleName": "AYERS",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CRNP, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DESTFINO",
    "OtherFirstName": "DANIELLE",
    "OtherMiddleName": "AYERS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11110 MEDICAL CAMPUS RD STE 151",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAGERSTOWN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21742-6755",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-678-5187",
    "MailingAddressFaxNumber": "301-678-5797",
    "FirstLinePracticeLocationAddress": "924 SETON DR STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CUMBERLAND",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21502-1851",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-797-7600",
    "PracticeLocationAddressFaxNumber": "301-517-7636",
    "EnumerationDate": "09/11/2013",
    "LastUpdateDate": "04/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "R238171",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "SP016305",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "R238171",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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