Provider Demographics
NPI:1134768559
Name:PERRY, DANA
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:PERRY
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 1:9335 W MT ZION DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-3958
Mailing Address - Country:US
Mailing Address - Phone:414-331-0276
Mailing Address - Fax:855-853-8249
Practice Address - Street 1:6911 W LIMA ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-5733
Practice Address - Country:US
Practice Address - Phone:414-331-0276
Practice Address - Fax:855-853-8249
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide