Provider Demographics
NPI:1841625654
Name:DESTFINO, DANIELLE AYERS (CRNP, FNP-C)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:AYERS
Last Name:DESTFINO
Suffix:
Gender:F
Credentials:CRNP, FNP-C
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:AYERS
Other - Last Name:DESTFINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:11110 MEDICAL CAMPUS RD STE 151
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6755
Mailing Address - Country:US
Mailing Address - Phone:301-678-5187
Mailing Address - Fax:301-678-5797
Practice Address - Street 1:924 SETON DR STE C
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1851
Practice Address - Country:US
Practice Address - Phone:301-797-7600
Practice Address - Fax:301-517-7636
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR238171163W00000X, 363LP2300X
PASP016305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA13887978Medicaid