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1881667004

NPI Code Detail

MEDICARE: MRS. DANIELLE JEAN STOOK FNP-C

MEDICARE: MRS. DANIELLE JEAN STOOK FNP-C

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	ARNP9435208	FL
2	363LF0000X	Family Nurse Practitioner	AP30007184	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00393171	OTHER	WA	RAILROAD MC #
2	3273CO	OTHER	WA	BLUE SHIELD #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0039573	OTHER	WA	LABOR AND INDUSTRIES #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	US7503941	OTHER	WA	AETNA PCP PIN #

General Provider Information

NPI Number	:	1881667004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE JEAN STOOK FNP-C

Provider Business Mailing Address
First Line	:	8333 NW 53RD ST FL 6
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166-4783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11700 OKEECHOBEE BLVD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8721
Country	:	US
Telephone Number	:	561-790-0789
Fax Number	:	561-790-3884

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	06/01/2026

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Directions to “ MRS. DANIELLE JEAN STOOK FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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