Provider Demographics
NPI:1710190715
Name:EASON, DANA N (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:N
Last Name:EASON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 INTERNATIONAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-2562
Mailing Address - Country:US
Mailing Address - Phone:708-441-9240
Mailing Address - Fax:866-351-1969
Practice Address - Street 1:7900 INTERNATIONAL DR STE 300
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-2562
Practice Address - Country:US
Practice Address - Phone:708-441-9240
Practice Address - Fax:866-351-1969
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209012728363LP0808X
NC5008825363LP0808X
KS5378313062363LP0808X
AZAP9708363LP0808X
NYF4025561363LP0808X
MN7401363LP0808X
LA200090363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health