Provider Demographics
NPI:1942574868
Name:HARRISON, DANA L (RNFA)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:HARRISON
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 PINERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3529
Mailing Address - Country:US
Mailing Address - Phone:775-745-2587
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:1140 PINERIDGE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3529
Practice Address - Country:US
Practice Address - Phone:775-745-2587
Practice Address - Fax:888-329-6432
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN23437163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant