Provider Demographics
NPI:1760822233
Name:SAIN, DANA TROUTMAN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:TROUTMAN
Last Name:SAIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:TROUTMAN
Other - Last Name:DEYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:156 TREMOUNT LN
Mailing Address - Street 2:
Mailing Address - City:TROUTMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28166-7614
Mailing Address - Country:US
Mailing Address - Phone:288-284-0043
Mailing Address - Fax:
Practice Address - Street 1:536 SIGNAL HILL DRIVE EXT
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-4391
Practice Address - Country:US
Practice Address - Phone:704-872-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006263363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCD634AMedicare PIN