Provider Demographics
NPI:1699275453
Name:DANIEL, SHEEBA (FNP-C)
Entity type:Individual
Prefix:
First Name:SHEEBA
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 SHILOH RD STE 2300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7264
Mailing Address - Country:US
Mailing Address - Phone:214-501-3162
Mailing Address - Fax:
Practice Address - Street 1:525 SHILOH RD STE 2300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7264
Practice Address - Country:US
Practice Address - Phone:214-501-3162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily