Provider Demographics
NPI:1093550501
Name:TOWELL, DANIELLE RAELYNN (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:RAELYNN
Last Name:TOWELL
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:RAELYNN
Other - Last Name:CORNELIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13128 N MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-3017
Mailing Address - Country:US
Mailing Address - Phone:405-945-0001
Mailing Address - Fax:
Practice Address - Street 1:13128 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-3017
Practice Address - Country:US
Practice Address - Phone:405-945-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK218732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily