MEDICARE: MS. DANIELLE MOFFATT LINDEN ARNP-BC

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	ARNP2624982	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043217946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE MOFFATT LINDEN ARNP-BC

Provider Business Mailing Address
First Line	:	828 SE 16TH PL
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-7431
Country	:	US
Telephone Number	:	954-422-8941
Fax Number	:	954-422-8941

Provider Business Practice Location Address
First Line	:	1861 W. HILLSBORO BLVD.
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1401
Country	:	US
Telephone Number	:	954-422-8941
Fax Number	:	954-422-8941

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/28/2007

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