Provider Demographics
NPI:1376873919
Name:PHIPPS, DANA E (RN)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:E
Last Name:PHIPPS
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 1:7273 OLIVER WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8491
Mailing Address - Country:US
Mailing Address - Phone:614-270-2557
Mailing Address - Fax:614-834-3605
Practice Address - Street 1:7273 OLIVER WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8491
Practice Address - Country:US
Practice Address - Phone:614-270-2557
Practice Address - Fax:614-834-3605
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH223790163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health