MEDICARE: DANIELLE THERESE PRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11027432	FL

General Provider Information

NPI Number	:	1023798261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE THERESE PRICE

Provider Business Mailing Address
First Line	:	4536 POND BROOK CT
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-1345
Country	:	US
Telephone Number	:	941-704-5687
Fax Number	:

Provider Business Practice Location Address
First Line	:	5370 UNIVERSITY PKWY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-5800
Country	:	US
Telephone Number	:	941-917-7575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	07/21/2023

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Directions to “ DANIELLE THERESE PRICE ” Practice Location

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