Provider Demographics
NPI:1326548355
Name:TAPIA, DANA (RN)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:TAPIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 LOS LENTES RD NE
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-6500
Mailing Address - Country:US
Mailing Address - Phone:505-866-2488
Mailing Address - Fax:505-866-2485
Practice Address - Street 1:49 CAMINO LA CANADA
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-8177
Practice Address - Country:US
Practice Address - Phone:505-866-2488
Practice Address - Fax:505-866-2485
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR36329163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health