Provider Demographics
NPI:1346601762
Name:WERT, DANA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:WERT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-932-5348
Mailing Address - Fax:850-932-7740
Practice Address - Street 1:204 CENTER ST
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4392
Practice Address - Country:US
Practice Address - Phone:850-932-5348
Practice Address - Fax:850-932-7740
Is Sole Proprietor?:No
Enumeration Date:2016-03-12
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9264119363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics