Provider Demographics
NPI:1730624883
Name:BYERS, DANIELLE DORA (APRN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DORA
Last Name:BYERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7717 COLLIER BLVD UNIT 100
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-2872
Mailing Address - Country:US
Mailing Address - Phone:239-624-8220
Mailing Address - Fax:239-624-8221
Practice Address - Street 1:7717 COLLIER BLVD UNIT 100
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-2872
Practice Address - Country:US
Practice Address - Phone:239-624-8220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9201330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLXV3GEOtherFL BCBS
FL103729700Medicaid