MEDICARE: DANIELLE LOUISE WHITE APRN FNP-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	226324	AR
2	363L00000X	Nurse Practitioner	1141404	TX

General Provider Information

NPI Number	:	1124800719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LOUISE WHITE APRN FNP-BC

Provider Business Mailing Address
First Line	:	8610 N NEW BRAUNFELS AVE STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-6359
Country	:	US
Telephone Number	:	210-874-5260
Fax Number	:	210-864-4838

Provider Business Practice Location Address
First Line	:	21038 US HIGHWAY 281 N STE 100
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-7556
Country	:	US
Telephone Number	:	210-874-5260
Fax Number	:

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

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	06/23/2026

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