Provider Demographics
NPI:1376710939
Name:CAREY, DANA R
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:R
Last Name:CAREY
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 1:7060 NATURAL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-5162
Mailing Address - Country:US
Mailing Address - Phone:314-428-4020
Mailing Address - Fax:314-695-5699
Practice Address - Street 1:7060 NATURAL BRIDGE RD STE 3
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-5162
Practice Address - Country:US
Practice Address - Phone:314-428-4020
Practice Address - Fax:314-695-5699
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant