MEDICARE: DANIELLE MARIE CATON FNP

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	28691	SC

General Provider Information

NPI Number	:	1891536520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MARIE CATON FNP

Provider Business Mailing Address
First Line	:	4539 ORR ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-5235
Country	:	US
Telephone Number	:	610-999-5494
Fax Number	:

Provider Business Practice Location Address
First Line	:	442 KING ST
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-6230
Country	:	US
Telephone Number	:	843-800-8110
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/05/2024

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