Provider Demographics
NPI:1013721893
Name:LEON, DANA S (APRN, AGPCNP)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:S
Last Name:LEON
Suffix:
Gender:F
Credentials:APRN, AGPCNP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:S
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 GROVE CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3800
Mailing Address - Country:US
Mailing Address - Phone:845-661-9472
Mailing Address - Fax:
Practice Address - Street 1:108 GROVE CT
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3800
Practice Address - Country:US
Practice Address - Phone:845-661-9472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312182363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health