Provider Demographics
NPI:1114353588
Name:EBELING, DANA MARIE (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:EBELING
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 MARTINGALE TRAIL
Mailing Address - Street 2:
Mailing Address - City:BANDERA
Mailing Address - State:TX
Mailing Address - Zip Code:78003
Mailing Address - Country:US
Mailing Address - Phone:830-328-6002
Mailing Address - Fax:
Practice Address - Street 1:3001 BEE CAVES RD STE 220
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5590
Practice Address - Country:US
Practice Address - Phone:512-777-2591
Practice Address - Fax:512-777-3193
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1046802363LF0000X, 363LP0808X
VA0024171160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily