Provider Demographics
NPI:1972325850
Name:YOUSEF, DANIA (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name:YOUSEF
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 HAMPTON GATE DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2519
Mailing Address - Country:US
Mailing Address - Phone:609-727-9020
Mailing Address - Fax:
Practice Address - Street 1:400 N CHURCH ST STE 110
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1771
Practice Address - Country:US
Practice Address - Phone:856-234-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15191800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily