Provider Demographics
NPI:1730978271
Name:HERRERA, DANIELLE JEANETTE (ACNPC-AG)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JEANETTE
Last Name:HERRERA
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15060 SW 150TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4424
Mailing Address - Country:US
Mailing Address - Phone:786-222-9522
Mailing Address - Fax:
Practice Address - Street 1:15060 SW 150TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4424
Practice Address - Country:US
Practice Address - Phone:786-222-9522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025196363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner