Provider Demographics
NPI:1093310153
Name:MICHAAN, DANA DEE (PA)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:DEE
Last Name:MICHAAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6161 S BOSTON CIR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5242
Mailing Address - Country:US
Mailing Address - Phone:970-708-4058
Mailing Address - Fax:
Practice Address - Street 1:6161 S BOSTON CIR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-5242
Practice Address - Country:US
Practice Address - Phone:970-708-4058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant