Doctor Name: | DANA STANN |
NPI Number: | 1891167557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 20667 |
Business Practice Address: | 254 Ren Mar Dr Pleasant View, TN - 371463722 |
Business Phone Number: | 6157460203 |
Business Fax Number: | |
Mailing Address: | 254 Ren Mar Dr, PLEASANT VIEW |
State: | TN |
Postal Code: | 371463722 |
Phone Number: | 6157460203 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2015 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 20667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |