Provider Demographics
NPI:1144846288
Name:WHITE, DANIELL MARIE (APRN)
Entity type:Individual
Prefix:
First Name:DANIELL
Middle Name:MARIE
Last Name:WHITE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DANIELL
Other - Middle Name:MARIE
Other - Last Name:DURANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1523 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-5918
Mailing Address - Country:US
Mailing Address - Phone:785-443-1254
Mailing Address - Fax:
Practice Address - Street 1:1523 4TH AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-5918
Practice Address - Country:US
Practice Address - Phone:785-443-1254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily