Provider Demographics
NPI:1821692393
Name:NARDONE, DANA ANN
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ANN
Last Name:NARDONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2346
Mailing Address - Country:US
Mailing Address - Phone:781-462-2000
Mailing Address - Fax:781-398-2087
Practice Address - Street 1:884 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2346
Practice Address - Country:US
Practice Address - Phone:781-462-2000
Practice Address - Fax:781-398-2097
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH22921183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist