Provider Demographics
NPI:1588617203
Name:LEPERE, DANA E (CRNA)
Entity Type:Individual
Prefix:MR
First Name:DANA
Middle Name:E
Last Name:LEPERE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 GUCKERT LN
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8738
Mailing Address - Country:US
Mailing Address - Phone:724-935-5708
Mailing Address - Fax:724-935-5934
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:MELLON PAVILION SUITE 459
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-578-5828
Practice Address - Fax:412-605-6361
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN272598L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810009665Medicaid
PA004973U31Medicare PIN
WV3810009665Medicaid