Provider Demographics
NPI:1003904293
Name:MCCABE, DANA MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:MARIE
Last Name:MCCABE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4929 COUNTY ROAD P43
Mailing Address - Street 2:
Mailing Address - City:FORT CALHOUN
Mailing Address - State:NE
Mailing Address - Zip Code:68023-5066
Mailing Address - Country:US
Mailing Address - Phone:402-468-4655
Mailing Address - Fax:402-468-4633
Practice Address - Street 1:4929 COUNTY ROAD P43
Practice Address - Street 2:FORT CALHOUN CLINIC
Practice Address - City:FORT CALHOUN
Practice Address - State:NE
Practice Address - Zip Code:68023
Practice Address - Country:US
Practice Address - Phone:402-468-4655
Practice Address - Fax:402-468-4633
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1003363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant