Provider Demographics
NPI:1629485081
Name:FERNANDEZ, DANIELA M (NP)
Entity type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:M
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:DANIELA
Other - Middle Name:M
Other - Last Name:TOCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:4755 OGLETOWN STANTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-2200
Mailing Address - Country:US
Mailing Address - Phone:302-733-4525
Mailing Address - Fax:302-733-4533
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:CSSU
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-733-4525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0038118163W00000X
DELG-0000742363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse