Provider Demographics
NPI:1225582950
Name:NANNI, DANA ANNE
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:ANNE
Last Name:NANNI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GALE BLVD
Mailing Address - Street 2:APT 1
Mailing Address - City:MELVINDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48122-1778
Mailing Address - Country:US
Mailing Address - Phone:248-924-4559
Mailing Address - Fax:
Practice Address - Street 1:10 GALE BLVD
Practice Address - Street 2:APT 1
Practice Address - City:MELVINDALE
Practice Address - State:MI
Practice Address - Zip Code:48122-1778
Practice Address - Country:US
Practice Address - Phone:248-924-4559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other