Provider Demographics
NPI:1609216803
Name:THEBERGE, DANIELLE FECK (WHNP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:FECK
Last Name:THEBERGE
Suffix:
Gender:
Credentials:WHNP
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:GRAHAM
Other - Last Name:FECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:13094 NC HWY 50
Mailing Address - Street 2:
Mailing Address - City:SURF CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28445
Mailing Address - Country:US
Mailing Address - Phone:910-222-7555
Mailing Address - Fax:910-222-3899
Practice Address - Street 1:13094 NC HWY 50
Practice Address - Street 2:
Practice Address - City:SURF CITY
Practice Address - State:NC
Practice Address - Zip Code:28445-2844
Practice Address - Country:US
Practice Address - Phone:910-222-7555
Practice Address - Fax:910-222-3899
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006300163WW0101X, 363L00000X, 363LW0102X
CONP0990745163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner