Provider Demographics
NPI:1720557820
Name:OAKES-SAND, DANA M (MCD)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:M
Last Name:OAKES-SAND
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 COE ST
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06098-1003
Mailing Address - Country:US
Mailing Address - Phone:860-921-4371
Mailing Address - Fax:
Practice Address - Street 1:25 COE ST
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-1003
Practice Address - Country:US
Practice Address - Phone:860-921-4371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6002-15374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula