Provider Demographics
NPI:1013050079
Name:WARD, DANA (RN)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C.M.R. 420
Mailing Address - Street 2:BOX 257
Mailing Address - City:A.P.O.
Mailing Address - State:A.E.
Mailing Address - Zip Code:09063
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:C.M.R. 420
Practice Address - Street 2:BOX 257
Practice Address - City:A.P.O.
Practice Address - State:A.E.
Practice Address - Zip Code:09063
Practice Address - Country:DE
Practice Address - Phone:409-675-7719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 2987472163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse