Provider Demographics
NPI:1710212881
Name:NEWLAND, DANA JEANNETTE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:JEANNETTE
Last Name:NEWLAND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 COOK ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:OH
Mailing Address - Zip Code:44849-9471
Mailing Address - Country:US
Mailing Address - Phone:567-232-2419
Mailing Address - Fax:
Practice Address - Street 1:311 COOK ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:OH
Practice Address - Zip Code:44849-9471
Practice Address - Country:US
Practice Address - Phone:567-232-2419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN135480164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse