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General NPI Number Information
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NPI Number | 1841625654
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Entity Type | Individual
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Provider Name | DANIELLE AYERS DESTFINO CRNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 924 SETON DR STE C
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City | CUMBERLAND
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State | MD
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Zip | 21502-1851
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Country | US
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Telephone | 301-797-7600
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Fax | 301-517-7636
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Provider Business Mailing Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 151
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6755
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Country | US
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Telephone | 301-678-5187
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Fax | 301-678-5797
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R238171
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP016305
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R238171
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License Number State | MD
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